Active NPI
Ebony Nicole Delgado
- Behavior Technician
- Monrovia, CA
National Provider Identifier
1710738828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 612 S Myrtle Ave
Monrovia, CA 91016-3406 - Phone
- (626) 775-7888
- NPI assigned
- Mar 27, 2024
- Reactivated
- Jun 18, 2024
- Last updated
- Jun 21, 2024
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
612 S Myrtle Ave
Monrovia, CA 91016-3406
Mailing address
3064 Battram St
Pomona, CA 91767-1704
Phone (909) 716-7528
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Essentials to Behavior Management, Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Rancho Cucamonga, CA
- NPI 1639680481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1710738828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 BATTRAM ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917671704",
"telephone_number": "909-716-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S MYRTLE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163406",
"telephone_number": "626-775-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "EBONY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-27",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"deactivation_date": "2024-06-06",
"reactivation_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.