Chandasiri Thumbage, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-271325 Issued in FL

Practice address

1501 N Belcher Rd Ste 249
Clearwater, FL 33765-1300

Phone

(727) 799-3330

Fax

(727) 799-9204

NPI assigned

May 3, 2023

Last updated

May 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angels by Your Side, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clearwater, FL
  • NPI 1134725062
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1255020418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 CHAUCER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654203",
            "telephone_number": "815-451-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BELCHER RD STE 249",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651300",
            "telephone_number": "727-799-3330",
            "fax_number": "727-799-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMBAGE",
        "first_name": "CHANDASIRI",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-271325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Caroline Thornton
• Shawn Thorp
• Brooke Thorson
• Thrive Child Psychology PLLC
• Andrea Frieda Thrun, CRNA
• Cadi Thurgaland
• Lynn Thykeo-Hicks, APRN
• Richard Tifft, LMFT
• Jasmina Tihic
• Curtis Jamaal Tillman

• Behavior Technician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.