Individual
DESTINEE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBAI
Contact information
Practice address
7133 N LOMBARD ST STE 101, PORTLAND, OR 97203-3205
(971) 420-7372
Mailing address
7133 N LOMBARD ST STE 101, PORTLAND, OR 97203-3205
(971) 420-7372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10261744
OR
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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