Janiesha Tate

NPI #1003374489 in Rockville, Maryland

Provider Information

NPI Number: 1003374489
Entity Type: Individual
Name: Janiesha Tate
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 5, 2019
Last Updated: Mar 5, 2019

Practice Location

Address: 7529 STANDISH PL STE 355
City: Rockville
State: Maryland
ZIP Code: 20855-2733
Phone: (703) 636-5418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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