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NPI Code Detail

MEDICARE: ETHIGE VAYANGANA RANMALITIE SILVA MS

MEDICARE:   ETHIGE VAYANGANA RANMALITIE SILVA  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystNC

General Provider Information

NPI Number : 1407678527
Entity Type Code : Individual
Provider Name (Legal Business Name) : ETHIGE VAYANGANA RANMALITIE SILVA MS
Provider Business Mailing Address
First Line : 604 MAIN AVE NW APT 4
Second Line :
City : HICKORY
State : NC
Zip : 28601-6001
Country : US
Telephone Number : 480-876-1672
Fax Number :
Provider Business Practice Location Address
First Line : 16 2ND ST NW
Second Line :
City : HICKORY
State : NC
Zip : 28601-6105
Country : US
Telephone Number : 828-358-0976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2024
Last Update Date : 12/09/2025

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Directions to “ ETHIGE VAYANGANA RANMALITIE SILVA MS” Practice Location

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