Provider Demographics
NPI:1164977120
Name:SILVA, BRENDA SHIN-HWA (BCABA)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:SHIN-HWA
Last Name:SILVA
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:SHIN-HWA
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6286
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507-6286
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-6470
Practice Address - Country:US
Practice Address - Phone:951-562-0221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician