Mirna Delgado Andrez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35649 Issued in CA

Practice address

8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670

Phone

(858) 264-5858

Fax

(858) 649-6012

NPI assigned

Jan 25, 2018

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1629576566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 ARCHIBALD AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303670",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 ARCHIBALD AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303670",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO ANDREZ",
        "first_name": "MIRNA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-35649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie G Dela Cruz
• John Delacruzportugal
• Genalin Delapena
• Miechelle L Delarosa, PA
• Angela Deleon
• Jessica Lorena Delgado
• Megan Delgado
• Philip Anthony Delgado, D.O.
• Laura G Delmar, LCSW
• Lovella Cantos Delos Santos, FNP-C

• Behavior Analyst in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.