Provider Demographics
NPI:1992542013
Name:DELGADO ANDARCIO, OSCAR D (RBT-24-334928)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:D
Last Name:DELGADO ANDARCIO
Suffix:
Gender:M
Credentials:RBT-24-334928
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1902
Mailing Address - Country:US
Mailing Address - Phone:786-805-2943
Mailing Address - Fax:
Practice Address - Street 1:614 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1902
Practice Address - Country:US
Practice Address - Phone:786-805-2943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-334928106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician