Individual
LILLIAN RAE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 143RD AVE APT 74, SAN LEANDRO, CA 94578-3346
(510) 468-8994
Mailing address
900 143RD AVE APT 74, SAN LEANDRO, CA 94578-3346
(510) 468-8994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/14/2022
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