Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gateway Pediatric Therapy LLC

Organization Behavior Analyst · NPI 1962089425

Gateway Pediatric Therapy LLC is a Behavior Analyst in Bingham Farms, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454
Phone: (248) 712-4266
Fax: (248) 712-4381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1962089425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tatak — Ceo · (248) 712-4266
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 8, 2021
Mailing address32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454

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