MEDICARE: SILVEIRA BEHAVIOR CONSULTANTS LLC

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

General Provider Information

NPI Number	:	1538814116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVEIRA BEHAVIOR CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	1411 N CAMPBELL AVE # 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1753
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 W ARMITAGE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4461
Country	:	US
Telephone Number	:	312-414-8000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MILADYS RODRIGUEZ SILVEIRA
Credential	:
Telephone Number	:	312-414-8000

Provider Enumeration Date	:	02/13/2022
Last Update Date	:	09/18/2024

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