Individual
KYERA E TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3447 20TH ST, HIGHLAND, CA 92346-4535
(951) 497-0432
Mailing address
1405 SPRUCE ST STE A, RIVERSIDE, CA 92507-2410
(800) 498-8847
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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