Provider Demographics
NPI:1831711779
Name:SYLVESTER, JILIENNE R (BCBA)
Entity type:Individual
Prefix:
First Name:JILIENNE
Middle Name:R
Last Name:SYLVESTER
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5042
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-5042
Mailing Address - Country:US
Mailing Address - Phone:516-255-7425
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 5042
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-5042
Practice Address - Country:US
Practice Address - Phone:516-255-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst