Individual
ANGEL SHANA DELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 STUART RD NE, CLEVELAND, TN 37312-5868
(931) 288-2422
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67491
TN
106S00000X
Behavior Technician
RBT-21-165921
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-67491
BCBA #
TN
Enumeration date
05/16/2021
Last updated
09/07/2023
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