Provider Demographics
NPI:1851159453
Name:TUMAOB, CONCHITA DAYAON (RBT)
Entity Type:Individual
Prefix:
First Name:CONCHITA
Middle Name:DAYAON
Last Name:TUMAOB
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 1:8233 AMITY CIR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1163
Mailing Address - Country:US
Mailing Address - Phone:571-313-9771
Mailing Address - Fax:
Practice Address - Street 1:12944 TRAVILAH RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1079
Practice Address - Country:US
Practice Address - Phone:240-477-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician