Healthcare Provider Details

I. General information

NPI: 1912373606
Provider Name (Legal Business Name): YESSENIA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 N IMPERIAL AVE SUITE D130
EL CENTRO CA
92243-1582
US

IV. Provider business mailing address

587 PORTSMOUTH DR UNIT C
CHULA VISTA CA
91911-7614
US

V. Phone/Fax

Practice location:
  • Phone: 760-235-5115
  • Fax:
Mailing address:
  • Phone: 760-235-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-29266
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0156653
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: