Rakia Tate
Behavior Technician in Warren, MI. Individual provider (NPI-1).
NPI number1003576331
StatusActive
Last updated in NPPESDec 28, 2021
Details
- NPI
- 1003576331
- Entity type
- Individual (NPI-1)
- Name
- Rakia Tate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3601 E 11 Mile RdWarren, MI 48092-2878
Phone 303-989-8169
Mailing address
3601 E 11 Mile RdWarren, MI 48092-2878
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