MEDICARE: DIANA SILVERMAN BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-85116	IL

General Provider Information

NPI Number	:	1225906480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA SILVERMAN BCBA

Provider Business Mailing Address
First Line	:	5020 ESTES AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-3520
Country	:	US
Telephone Number	:	331-803-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 N LINCOLN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-3923
Country	:	US
Telephone Number	:	847-951-4981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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