Ben Mutombo

NPI #1790571818 in White Marsh, Maryland

Provider Information

NPI Number: 1790571818
Entity Type: Individual
Name: Ben Mutombo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 16, 2025
Last Updated: Apr 16, 2025

Practice Location

Address: 10839 PHILADELPHIA RD STE B&C
City: White Marsh
State: Maryland
ZIP Code: 21162-1717
Phone: (240) 342-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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