Healthcare Provider Details

I. General information

NPI: 1184420879
Provider Name (Legal Business Name): DEBORAH MARIE TOMBRAGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3449 NEWMARK DR
MIAMISBURG OH
45342-5426
US

IV. Provider business mailing address

144 COLONIAL CIR
GERMANTOWN OH
45327-7301
US

V. Phone/Fax

Practice location:
  • Phone: 937-281-1286
  • Fax:
Mailing address:
  • Phone: 937-733-6345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: