Delta Roosevelt

Behavior Technician · Oviedo, FL

Individual Active NPI

NPI number 1750828091

Practice location

1809 E Broadway St # 122
Oviedo, FL 32765-8597
Phone
(407) 359-5693
Fax
(407) 792-5693

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NPI record

NPI
1750828091
Entity type
Individual (Type 1)
Enumeration date
January 25, 2017
Last updated
January 25, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

12112 Goldenstar Ln
Clermont, FL 34711-6679
Phone
(352) 874-0002

About Delta Roosevelt

Delta Roosevelt is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1809 E Broadway St # 122, Oviedo, FL 32765-8597. The NPI number 1750828091 was assigned on January 25, 2017 and the record was last updated on January 25, 2017.

Frequently asked questions

What is the NPI number of Delta Roosevelt?

The NPI number is 1750828091.

What is the phone number of Delta Roosevelt?

The phone number listed for the practice location is (407) 359-5693.

Where is Delta Roosevelt located?

1809 E Broadway St # 122, Oviedo, FL 32765-8597.

What is the taxonomy code for Delta Roosevelt?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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