Provider Demographics
NPI:1386926012
Name:SRIMAN, PADMINI KOUSALYA (BCBA)
Entity type:Individual
Prefix:MS
First Name:PADMINI
Middle Name:KOUSALYA
Last Name:SRIMAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 MISTFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8185
Mailing Address - Country:US
Mailing Address - Phone:847-769-1663
Mailing Address - Fax:
Practice Address - Street 1:3707 MISTFLOWER LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8185
Practice Address - Country:US
Practice Address - Phone:630-416-0625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst