Provider Demographics
NPI:1396382339
Name:TAMAYO-WASHINGTON, LUZ MARIA (RBT)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:MARIA
Last Name:TAMAYO-WASHINGTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1101
Mailing Address - Country:US
Mailing Address - Phone:469-230-5278
Mailing Address - Fax:
Practice Address - Street 1:1618 CLUB CIR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1101
Practice Address - Country:US
Practice Address - Phone:469-230-5278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician