Individual
ANJAYL N TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LEONARD DR, KING OF PRUSSIA, PA 19406-2146
(267) 810-7022
Mailing address
200 LEONARD DR, KING OF PRUSSIA, PA 19406-2146
(267) 810-7022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
106S00000X
Behavior Technician
—
PA
106S00000X
Behavior Technician
—
TX
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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