Provider Demographics
NPI:1841779055
Name:SILVA-KLEIN, SARA NICOLE (BCBA; LBA-NY)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:NICOLE
Last Name:SILVA-KLEIN
Suffix:
Gender:F
Credentials:BCBA; LBA-NY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 BORDEN AVE APT 16F
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-6233
Mailing Address - Country:US
Mailing Address - Phone:773-366-9085
Mailing Address - Fax:
Practice Address - Street 1:155 BORDEN AVE APT 16F
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-6233
Practice Address - Country:US
Practice Address - Phone:773-366-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-18-32033103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst