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NPI Code Detail

MEDICARE: JENNIFER ANNE SILVEIRA MED, BCBA

MEDICARE: JENNIFER ANNE SILVEIRA MED, 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
1106S00000XBehavior TechnicianRBT-20-114734IN
2103K00000XBehavior AnalystKY

General Provider Information

NPI Number : 1982225751
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANNE SILVEIRA MED, BCBA
Provider Business Mailing Address
First Line : 5201 E VIRGINIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2656
Country : US
Telephone Number : 812-436-1448
Fax Number :
Provider Business Practice Location Address
First Line : 5201 E VIRGINIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-2656
Country : US
Telephone Number : 812-436-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2020
Last Update Date : 05/10/2024

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