EVAN GREGOIRE MUTOMBO RBT
NPI 1487314985
Behavior Technician in Manhasset, NY

Active since December 23, 2021
1129 NORTHERN BLVD STE 404, MANHASSET, NY 11030(718) 395-4522 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evan Gregoire Mutombo Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN GREGOIRE MUTOMBO RBT (NPI 1487314985) is an individual behavior technician in Manhasset, New York, licensed in (RBT-21-194041) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1487314985
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameEVAN GREGOIRE MUTOMBOCredential: RBT
Location Address1129 NORTHERN BLVD STE 404Manhasset, NY 11030-3022
Mailing Address1583 Marshall StElmont, NY 11003-1335
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
NPI 1487314985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed · RBT-21-194041
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1129 NORTHERN BLVD STE 404, Manhasset, NY 11030

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Psychiatry & Neurology (Psychiatry)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Internal Medicine (Clinical Cardiac Electrophysiology)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Counselor (Mental Health)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Internal Medicine (Interventional Cardiology)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Psychologist (Clinical)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Nurse Practitioner (Psychiatric/Mental Health)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030
Counselor (Mental Health)
1129 NORTHERN BLVD STE 404
MANHASSET, NY 11030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Mutombo's NPI number?

The NPI number for Evan Mutombo is 1487314985. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Evan Mutombo located?

Evan Mutombo practices at 1129 Northern Blvd Ste 404, Manhasset, NY 11030. The listed phone number is (718) 395-4522.

What is Evan Mutombo's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Evan Mutombo was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.