MEDICARE: LAURA SILVER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1811549033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA SILVER

Provider Business Mailing Address
First Line	:	2420 FLAMINGO DR APT 12
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4630
Country	:	US
Telephone Number	:	305-527-1668
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 FLAMINGO DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4630
Country	:	US
Telephone Number	:	305-527-1668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	07/09/2019

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Directions to “ LAURA SILVER ” Practice Location

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