Provider Demographics
NPI:1154989473
Name:SILVA, BRIANA CHRISTINE
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:CHRISTINE
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:CHRISTINE
Other - Last Name:OROPEZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2556 N TORRES ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-2924
Mailing Address - Country:US
Mailing Address - Phone:714-679-8066
Mailing Address - Fax:
Practice Address - Street 1:675 N EUCLID ST STE 623
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4639
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-01
Last Update Date:2023-09-14
Deactivation Date:2019-06-20
Deactivation Code:
Reactivation Date:2020-09-23
Provider Licenses
StateLicense IDTaxonomies
CA1-20-43524103K00000X
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABCBA-1-20-43524OtherBCBA
CARBT-18-51874OtherRBT