Provider Demographics
NPI:1932798774
Name:SILLAS, JOCELYN BRIANA (BI)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:BRIANA
Last Name:SILLAS
Suffix:
Gender:F
Credentials:BI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8520 CENTURY BLVD UNIT C
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-8603
Mailing Address - Country:US
Mailing Address - Phone:562-305-6632
Mailing Address - Fax:
Practice Address - Street 1:1225 W 190TH ST STE 360
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-4338
Practice Address - Country:US
Practice Address - Phone:310-819-8184
Practice Address - Fax:310-818-7471
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CASPA97202355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician