Individual provider · Type 1 NPI

Evan Gregoire Mutombo, RBT

Behavior Technician · Manhasset, NY

NPI number 1487314985 Active

Practice location

1129 Northern Blvd Ste 404
Manhasset, NY 11030-3022

Mailing address

1583 Marshall St
Elmont, NY 11003-1335

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-21-194041

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1487314985

Evan Gregoire Mutombo, RBT's National Provider Identifier is 1487314985, issued on Dec 23, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Manhasset, NY. The record was last updated on Dec 23, 2021.