Basic Information
| Provider Information | |||||||||
| NPI: | 1912414699 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELGADO | ||||||||
| FirstName: | NORA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 NW 87TH AVE APT H201 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331724542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862814193 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7950 W FLAGLER ST STE 108 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331442206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059678074 | ||||||||
| FaxNumber: | 3059678302 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2018 | ||||||||
| LastUpdateDate: | 01/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106E00000X | 0-19-10373 | N | 106S00000X | N | 106S00000X | RBT18-47646 | FL | N | 103K00000X | 1-21-55811 | CO | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.