Provider Demographics
NPI:1164000261
Name:SILBER, JEFF (MS)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:SILBER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7944 WATTS RD APT 314
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3816
Mailing Address - Country:US
Mailing Address - Phone:608-438-0467
Mailing Address - Fax:
Practice Address - Street 1:901 WHALEN RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1765
Practice Address - Country:US
Practice Address - Phone:888-476-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician