Individual
ANDRIA DARYN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 ROSS CLARK CIR STE 2, DOTHAN, AL 36301-4746
(334) 446-1529
Mailing address
1435 ROSS CLARK CIR STE 2, DOTHAN, AL 36301-4746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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