Provider Demographics
NPI:1811562556
Name:DAVIS-SYLVESTER, REBBIE FRANCES (BT)
Entity Type:Individual
Prefix:MRS
First Name:REBBIE
Middle Name:FRANCES
Last Name:DAVIS-SYLVESTER
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 LA VENEZIA CT
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5745
Mailing Address - Country:US
Mailing Address - Phone:626-394-3048
Mailing Address - Fax:
Practice Address - Street 1:931 BUENA VISTA ST STE 200
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-1713
Practice Address - Country:US
Practice Address - Phone:626-739-3765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician