Ishan Bandara Samarakkody Mudiyanselage
Ishan Bandara Samarakkody Mudiyanselage is a Behavior Technician in Sparks, Nevada. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
300 Los Altos Pkwy Ste 109Sparks, NV 89436-7754
Phone: (775) 996-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1447917729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 22, 2021 |
| Last updated in NPPES | November 22, 2021 |
| Certification date | November 22, 2021 |
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