Individual provider Active NPI

Hailey Nicole Deloya, BCBA

  • Behavior Analyst
  • Minneapolis, MN
National Provider Identifier
1457769945
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14949 Issued in MN
Practice address
250 Park Ave Unit 606
Minneapolis, MN 55415-1170
Phone
(952) 239-3764
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14949 MN Primary

Addresses

Primary practice location

250 Park Ave Unit 606
Minneapolis, MN 55415-1170

Mailing address

250 Park Ave Unit 606
Minneapolis, MN 55415-1170
Phone (952) 239-3764

Other identifiers 1

IdentifierTypeStateIssuer
1-13-14949OtherMNBOARD CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1457769945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARK AVE UNIT 606",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151170",
            "telephone_number": "952-239-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK AVE UNIT 606",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151170",
            "telephone_number": "952-239-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOYA",
        "first_name": "HAILEY",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "1-13-14949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "1-13-14949",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.