Provider Demographics
NPI:1487138632
Name:DELGADO, GIANA (RBT 18-66069)
Entity type:Individual
Prefix:
First Name:GIANA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:RBT 18-66069
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10340 LYNWOOD CRK # 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4142
Mailing Address - Country:US
Mailing Address - Phone:303-859-5586
Mailing Address - Fax:
Practice Address - Street 1:10340 LYNWOOD CRK # 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4142
Practice Address - Country:US
Practice Address - Phone:303-859-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-23
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18-66069106S00000X
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician