Provider Demographics
NPI:1558673699
Name:SILICON VALLEY ABA AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:SILICON VALLEY ABA AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:GUINTO
Authorized Official - Last Name:BAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:408-476-3208
Mailing Address - Street 1:1613 S MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6295
Mailing Address - Country:US
Mailing Address - Phone:408-476-3208
Mailing Address - Fax:
Practice Address - Street 1:1613 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6295
Practice Address - Country:US
Practice Address - Phone:408-476-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 235Z00000X
CAHS0724252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty