Healthcare Provider Details

I. General information

NPI: 1902656531
Provider Name (Legal Business Name): SILVA POLLY TREISER BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NEWBURY ST
DANVERS MA
01923-1087
US

IV. Provider business mailing address

13 ALBION ST
AMESBURY MA
01913-2634
US

V. Phone/Fax

Practice location:
  • Phone: 978-248-1108
  • Fax:
Mailing address:
  • Phone: 978-760-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: