Individual
JOSEPH ERIC SILVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
3646 SE FRANCIS ST, PORTLAND, OR 97202-3211
(602) 460-8451
Mailing address
3646 SE FRANCIS ST, PORTLAND, OR 97202-3211
(602) 460-8451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-58780
AZ
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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