Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEN MUTOMBO
ActiveBEN MUTOMBO is a Behavior Technician healthcare provider located in WHITE MARSH, Maryland. NPI 1790571818 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · WHITE MARSH, MD
Registration Details
- NPI Number
- 1790571818
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Apr 16, 2025 (1.1842636183091 yrs)
- Last Updated
- Apr 16, 2025
Practice Information
- Address
-
10839 PHILADELPHIA RD STE B&CWHITE MARSH, MD, 211621717Browse MD providers · Browse ZIP 21162
- Phone
- 2403422666
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in WHITE MARSH, MD
| Name | Credential | NPI |
|---|---|---|
| RANA CAYIR | — | 1285456160 |
| LEANDREA DETHERIDGE | — | 1497570097 |
| TAYLOR GREEN | — | 1659196251 |
| ROBERT MADISON | — | 1891510400 |
| LATISHA ANTOINETTE CARR | — | 1730995960 |
| ARIEL STEWARD | — | 1972310084 |
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.