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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN LESLIE TATE, M.P.A.

Active Sole Proprietor

MR. JONATHAN LESLIE TATE, M.P.A. is a Behavior Technician healthcare provider located in RIVER ROUGE, Michigan. NPI 1487198727 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · RIVER ROUGE, MI

Registration Details

NPI Number
1487198727
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2016 (9.6888610580446 yrs)
Last Updated
Dec 6, 2016
Sole Proprietor
Yes

Practice Information

Address
258 POLK AVE
RIVER ROUGE, MI, 482181029
Browse MI providers · Browse ZIP 48218
Phone
3133008718
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in RIVER ROUGE, MI

Name Credential NPI
KASSIE L MCKNIGHT 1467196931
DONNA BALDWIN 1033083506
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.