Most Relevant Information
Provider Data
| NPI Number: | 1003571928 |
| Provider Name: | THARINDHIE THISURI HEMBADURA DE SILVA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2021 |
| Last Updated: | 11/04/2021 |
Provider Practice Location
140 S FLOWER ST STE 100
ORANGE
CA
928683467
Practice Location Phone/Fax
| Phone: | 7146835876 |
| Fax: |
Provider Mailing Location
140 S FLOWER ST STE 100
ORANGE
CA
928683467
Provider Mailing Phone/Fax
| Phone: | 7146835876 |
| Fax: |