MEDICARE: CHELSEA DA SILVA M.ED., BCBA, LABA

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	222Q00000X	Developmental Therapist
2	103K00000X	Behavior Analyst	3550	MA

General Provider Information

NPI Number	:	1427405091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA DA SILVA M.ED., BCBA, LABA

Provider Business Mailing Address
First Line	:	321 FORTUNE BLVD STE 202
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-1750
Country	:	US
Telephone Number	:	508-478-0207
Fax Number	:	508-634-6984

Provider Business Practice Location Address
First Line	:	790 TURNPIKE ST STE 105
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6129
Country	:	US
Telephone Number	:	508-478-0207
Fax Number	:

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

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	06/04/2021

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Directions to “ CHELSEA DA SILVA M.ED., BCBA, LABA” Practice Location

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