Madaline Deluca, BSW
Behavior Technician in Portage, MI. Individual provider (NPI-1).
NPI number1124861653
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1124861653
- Entity type
- Individual (NPI-1)
- Name
- Madaline Deluca
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2024
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Other names
- Madaline Sifford (Former Name)
Practice location
5250 Lovers LnPortage, MI 49002-1580
Phone 269-425-1536
Mailing address
2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791
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All 327 Behavior Technician providers in Portage · All 1,955 providers in Portage
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