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General NPI Number Information
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NPI Number | 1043148885
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Entity Type | Individual
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Provider Name | IZABELLA MARION SILVA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 10 W BROADWAY STE 700
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-2060
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Country | US
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Telephone | 385-494-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 136 W 200 S APT 118
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City | PROVO
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State | UT
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Zip | 84601-5919
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-410806
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License Number State | UT
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