Andrea Tate
Behavior Technician in Plymouth, MI. Individual provider (NPI-1).
NPI number1497544035
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1497544035
- Entity type
- Individual (NPI-1)
- Name
- Andrea Tate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
44670 Ann Arbor Rd W Ste 140Plymouth, MI 48170-3962
Phone 133-278-4601
Mailing address
44670 Ann Arbor Rd W Ste 140Plymouth, MI 48170-3962
Phone 133-278-4601
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,079 Behavior Technician providers in Plymouth · All 4,010 providers in Plymouth
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