Damitria Tate

NPI #1841058070 in Hampton, Georgia

Provider Information

NPI Number: 1841058070
Entity Type: Individual
Name: Damitria Tate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 1382 MISTY RIDGE CT
City: Hampton
State: Georgia
ZIP Code: 30228-3393
Phone: (706) 402-8958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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