Provider / Organization | NPI | Date Certified |
---|---|---|
SIVANAH TATEM | 1417531138 | 2021-05-09 |
Sivanah Tatem is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417531138. Registration indicates Sivanah Tatem is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Sivanah Tatem |
Practice Office Address | 8801 FOLSOM BLVD STE 195 SACRAMENTO, CA US |
Practice Office Telephone | 9163824447 |
Mailing Address | 313 DEWEY CT LINCOLN, CA 956482931 US |
Business Telephone | 9169458155 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
CA |