Healthcare Provider Details

I. General information

NPI: 1700330800
Provider Name (Legal Business Name): KARLI SILVERMAN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 1ST AVE STE 50
SEATTLE WA
98104-1404
US

IV. Provider business mailing address

150 W UNIVERSITY BLVD
MELBOURNE FL
32901-6982
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-6780
  • Fax: 818-241-6853
Mailing address:
  • Phone: 321-674-8106
  • Fax: 321-674-8411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-23237
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: