Active NPI
Micaela Deloney, BCBA, M.ED
- Behavior Analyst
- Dupont, WA
National Provider Identifier
1609408228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72578
- Practice address
- 1570 Wilmington Dr
Dupont, WA 98327-8773 - Phone
- (206) 453-4882
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-72578 | Primary |
Addresses
Primary practice location
1570 Wilmington Dr
Dupont, WA 98327-8773
Mailing address
6521 S Park Ave
Tacoma, WA 98408-4511
Phone (417) 825-3736
Other practice location 1
2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Phone (479) 802-4798
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1609408228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 S PARK AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984084511",
"telephone_number": "417-825-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 WILMINGTON DR",
"city": "DUPONT",
"state": "WA",
"postal_code": "983278773",
"telephone_number": "206-453-4882"
}
],
"practiceLocations": [
{
"address_1": "2601 N Walton Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727124302",
"country_code": "US",
"telephone_number": "479-802-4798",
"fax_number": "479-688-0589",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELONEY",
"first_name": "MICAELA",
"credential": "BCBA, M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-72578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dupont, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.