Angel Shana Delk

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67491 Issued in TN

Practice address

1510 Stuart Rd NE
Cleveland, TN 37312-5868

Phone

(931) 288-2422

NPI assigned

May 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Health of Michigan, LLC

  • Behavior Analyst
  • Traverse City, MI
  • NPI 1558841163
  NPD (past)
• Acorn Health, LLC.

  • Behavior Analyst
  • Coral Gables, FL
  • NPI 1801494679
  NPD (past)

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1942874813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 STUART RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125868",
            "telephone_number": "931-288-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELK",
        "first_name": "ANGEL",
        "middle_name": "SHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-21-165921",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-23-67491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA #",
            "identifier": "1-23-67491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eben A Dearmond Jr.
• Amanda Kelley Deaton
• Judith L Dedeker, RN
• Shannon Brittany Dedmon, FNP
• Christina Delgman
• Minna Rena Deluca, NP
• Veronica Demaria, FNP-BC
• Amanda B Denham, BEHAVIOR TECHNCIAN
• Madison Denney
• Dennis Clifford Ford MD

• Behavior Analyst in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.