Provider Demographics
NPI:1477319564
Name:WEERAMUNDA, PASINDU MADAWA
Entity Type:Individual
Prefix:
First Name:PASINDU
Middle Name:MADAWA
Last Name:WEERAMUNDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44933 GEORGE WASHINGTON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6301
Mailing Address - Country:US
Mailing Address - Phone:703-420-9570
Mailing Address - Fax:
Practice Address - Street 1:6705 CABIN JOHN RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2433
Practice Address - Country:US
Practice Address - Phone:703-420-9570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst