Individual provider Active NPI

Oyola Caridad Abad Delgado, M.S., BCBA

  • Behavior Analyst
  • Lake Clarke Shores, FL
National Provider Identifier
1982162897
Registry record updated Feb 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46322
Practice address
1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031
Phone
(561) 444-2814
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-20-46322 Primary

Addresses

Primary practice location

1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031

Mailing address

416 Cypress LN
Palm Springs, FL 33461-1508
Phone (786) 306-8419

Other identifiers 2

IdentifierTypeStateIssuer
102271600MedicaidFL
1-20-46322OtherBACB

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Shooting Stars Inc. Behavior Analyst CurrentSince Nov 28, 2021 Accepting new patients
Brighter Minds Behavioral Health, LLC. Behavior Analyst PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645920000000",
    "number": "1982162897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CYPRESS LN",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611508",
            "telephone_number": "786-306-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-444-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAD DELGADO",
        "first_name": "OYOLA",
        "middle_name": "CARIDAD",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-46322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102271600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-20-46322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.