Debra Tate
NPI #1124593181 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1124593181
- Entity Type
- Individual
- Name
- Debra Tate
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 5, 2018
- Last Updated
- Oct 5, 2018
Practice Location
- Address
- 3431 S RIVIERA DR
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84106-1226
- Phone
- (801) 865-6409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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