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NPI Code Detail

MEDICARE: MR. FABIAN SILVA MS, LBA, BCBA

MEDICARE: MR. FABIAN SILVA MS, LBA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0-21-12329TX
2106S00000XBehavior Technician
3103K00000XBehavior Analyst1-23-68106TX

General Provider Information

NPI Number : 1376045914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FABIAN SILVA MS, LBA, BCBA
Provider Business Mailing Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 214-778-1153
Fax Number :
Provider Business Practice Location Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 855-782-7822
Fax Number : 818-241-6853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2018
Last Update Date : 10/05/2023

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