Provider Demographics
NPI:1629818034
Name:SAENZ-SILVA, MARLEN (RBT)
Entity type:Individual
Prefix:MS
First Name:MARLEN
Middle Name:
Last Name:SAENZ-SILVA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 N MERRIMAC AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-5008
Mailing Address - Country:US
Mailing Address - Phone:312-934-6219
Mailing Address - Fax:
Practice Address - Street 1:6430 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-2925
Practice Address - Country:US
Practice Address - Phone:312-806-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILRBT-23-316575106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician