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NPI 1376045914

NPI 1376045914 : FABIAN SILVA MS, LBA, BCBA : DENTON, TX

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General NPI Number Information
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    NPI Number           |    1376045914
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    Entity Type          |    Individual 
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    Provider Name        |    FABIAN SILVA MS, LBA, BCBA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/28/2018
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    Last Update Date     |    10/05/2023
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Provider Practice Location Address
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    Address Line         |    2701 SHORELINE DR STE 151 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76210-0176
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    Country              |    US
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    Telephone            |    855-782-7822
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    Fax                  |    818-241-6853
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Provider Business Mailing Address
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    Address Line         |    2701 SHORELINE DR STE 151 
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    City                 |    DENTON
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    State                |    TX
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    Zip                  |    76210-0176
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    Country              |    US
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    Telephone            |    214-778-1153
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    0-21-12329
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-23-68106
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    License Number State |    TX
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