Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN GREGOIRE MUTOMBO, RBT
ActiveEVAN GREGOIRE MUTOMBO, RBT is a Behavior Technician healthcare provider located in MANHASSET, New York. NPI 1487314985 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MANHASSET, NY
Registration Details
- NPI Number
- 1487314985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2021 (4.6561974735419 yrs)
- Last Updated
- Dec 23, 2021
- License
-
RBT-21-194041
Practice Information
- Address
-
1129 NORTHERN BLVD STE 404MANHASSET, NY, 110303022Browse NY providers · Browse ZIP 11030
- Phone
- 7183954522
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in MANHASSET, NY
| Name | Credential | NPI |
|---|---|---|
| MS. BHARVI S SHAH | — | 1740078963 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.