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GATEWAY PEDIATRIC THERAPY LLC
NPI 1962089425
Behavior Analyst in Bingham Farms, MI

Active since March 29, 2021
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025(248) 712-4266(248) 712-4381 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gateway Pediatric Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY PEDIATRIC THERAPY LLC (NPI 1962089425) is a healthcare organization registered as a behavior analyst in Bingham Farms, Michigan and active in the NPI registry since March 2021. The organization lists Michael Tatak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962089425
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameGATEWAY PEDIATRIC THERAPY LLC
Location Address32100 TELEGRAPH RD STE 205Bingham Farms, MI 48025-2454
Mailing Address32100 Telegraph Rd Ste 205Bingham Farms, MI 48025-2454 · (248) 712-4266 · Fax (248) 712-4381
Phone(248) 712-4266
Fax(248) 712-4381
Organization SubpartNo
Authorized OfficialMichael TatakCeo · (248) 712-4266
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1962089425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
32100 TELEGRAPH RD STE 205, Bingham Farms, MI 48025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA L LAKE
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
SOPHIA MAURER
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
DANIELLE LAMBERT CLARAHAN MA, BCBA
Behavior Analyst
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
SYEDA LEZA
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
YASMEEN WOOTEN
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
MS. KENYA MARIE BARKSDALE
Student in an Organized Health Care Education/Training Program
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
CANDICE EVE POTTS
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266
ADELA SERIFOVIC
Technician/Technologist
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025
Oakland County (248) 712-4266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Pediatric Therapy LLC's NPI number?

The NPI number for Gateway Pediatric Therapy LLC is 1962089425. It was assigned to this organization in the NPPES registry on March 29, 2021.

Where is Gateway Pediatric Therapy LLC located?

Gateway Pediatric Therapy LLC is located at 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025. The listed phone number is (248) 712-4266.

What is Gateway Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Gateway Pediatric Therapy LLC accept?

Health plans from Priority Health list Gateway Pediatric Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gateway Pediatric Therapy LLC was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.