Individual
JASON SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA, TRS, CTRS
Contact information
Practice address
4600 E WASHINGTON ST STE 300A, PHOENIX, AZ 85034-1908
(928) 500-4619
Mailing address
4600 E WASHINGTON ST STE 300A, PHOENIX, AZ 85034-1908
(516) 206-8900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
12383970-2506
UT
103K00000X
Behavior Analyst
Primary
BEH-001251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
08/17/2017
Last updated
11/03/2025
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