Provider Demographics
NPI:1780299487
Name:NEVES DA SILVA, KLEYDSON (RN, TCMS, RBT)
Entity type:Individual
Prefix:
First Name:KLEYDSON
Middle Name:
Last Name:NEVES DA SILVA
Suffix:
Gender:M
Credentials:RN, TCMS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9923 SW 147TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1634
Mailing Address - Country:US
Mailing Address - Phone:786-205-4515
Mailing Address - Fax:305-200-5780
Practice Address - Street 1:10300 SW 72ND ST STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3038
Practice Address - Country:US
Practice Address - Phone:305-200-5210
Practice Address - Fax:305-200-5780
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FLRBT-20-128048106S00000X
FLRN9626177163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician