Provider Demographics
NPI:1912373606
Name:SILVA, YESSENIA
Entity type:Individual
Prefix:
First Name:YESSENIA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 PORTSMOUTH DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-7614
Mailing Address - Country:US
Mailing Address - Phone:760-235-5115
Mailing Address - Fax:
Practice Address - Street 1:1802 N IMPERIAL AVE
Practice Address - Street 2:SUITE D130
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-1582
Practice Address - Country:US
Practice Address - Phone:760-235-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-29266103K00000X
CA0156653106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst