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

Andrea Tatum

Individual provider Behavior Technician · NPI 1689338493

Andrea Tatum is a Behavior Technician in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

28 W Lancaster Dr
Stockton, CA 95207-5702
Phone: (510) 359-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1689338493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

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