Provider Demographics
NPI:1386164911
Name:SILVERSMITH, ADAM (BCBA)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:SILVERSMITH
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 HOLLIE DR E
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1264
Mailing Address - Country:US
Mailing Address - Phone:732-300-6556
Mailing Address - Fax:
Practice Address - Street 1:317 HOLLIE DR E
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-1264
Practice Address - Country:US
Practice Address - Phone:732-300-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-24
Last Update Date:2017-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst