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TYEQUAAN LEROY VALENITN TATE

Active

Behavior Technician · SHAMOKIN DAM, PA

Registration Details

NPI Number
1891366910
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2021 (4.825326156993 yrs)
Last Updated
Jul 9, 2021

Practice Information

Address
45 U.S. 11
SHAMOKIN DAM, PA, 17876
Browse PA providers · Browse ZIP 17876
Phone
5708023099
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SHAMOKIN DAM, PA

Name Credential NPI
MRS. JANELLE LYNN RHEA 1780852178
CASSIE LYNN KILE 1285218560
SHANNON FETZER 1831764083
BETSY J OTT 1316519895
LYDIA RENEE BEBEN BA 1467126755
SARAH BETH GARBERA 1043985153
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.