Individual
EDELYA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
04/13/2022
Last updated
02/02/2023
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