Provider Demographics
NPI:1740807338
Name:SILVERS, BRITTANY TAYLA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:TAYLA
Last Name:SILVERS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N KINGSBURY ST UNIT 1107
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-8770
Mailing Address - Country:US
Mailing Address - Phone:847-372-3364
Mailing Address - Fax:
Practice Address - Street 1:520 N KINGSBURY ST UNIT 1107
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-8770
Practice Address - Country:US
Practice Address - Phone:847-372-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-20-42580103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst