Provider Demographics
NPI:1467297465
Name:MOYO, SITHABILE OLEE (RBT)
Entity type:Individual
Prefix:MRS
First Name:SITHABILE
Middle Name:OLEE
Last Name:MOYO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:SITHABILE
Other - Middle Name:OLEE
Other - Last Name:MOYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OLEE
Mailing Address - Street 1:1200 CONCORD AVE STE 185
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5006
Mailing Address - Country:US
Mailing Address - Phone:925-565-4161
Mailing Address - Fax:
Practice Address - Street 1:1200 CONCORD AVE STE 185
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5006
Practice Address - Country:US
Practice Address - Phone:925-565-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician