Provider Demographics
NPI:1962924852
Name:DELGADO, JANSY M
Entity type:Individual
Prefix:
First Name:JANSY
Middle Name:M
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PARKLAND CIR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4528
Mailing Address - Country:US
Mailing Address - Phone:407-230-6296
Mailing Address - Fax:
Practice Address - Street 1:302 PARKLAND CIR UNIT 201
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4528
Practice Address - Country:US
Practice Address - Phone:407-230-6296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician