Individual
SAVANNAH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-4642
Mailing address
3704 W BROADWAY APT 3303, COLUMBIA, MO 65203-0241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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