Organization
DELTA BEHAVIORAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MACHOSE CAS, BCBA, LPA (MANAGING MEMBER/BEHAVIOR ANALYST)
(704) 931-8870
Entity
Organization
Contact information
Practice address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
(888) 849-4249
Mailing address
10926 S TRYON ST STE E, CHARLOTTE, NC 28273-4154
(855) 201-5498
(888) 849-4249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4297
NC
Other
Enumeration date
09/11/2012
Last updated
04/30/2019
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