Provider Demographics
NPI:1427936269
Name:PATETE, MARCIA MARIE
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:MARIE
Last Name:PATETE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 DANBURY LN
Mailing Address - Street 2:
Mailing Address - City:TEGA CAY
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8573
Mailing Address - Country:US
Mailing Address - Phone:803-396-0735
Mailing Address - Fax:803-396-0735
Practice Address - Street 1:408 DANBURY LN
Practice Address - Street 2:
Practice Address - City:TEGA CAY
Practice Address - State:SC
Practice Address - Zip Code:29708-8573
Practice Address - Country:US
Practice Address - Phone:803-396-0735
Practice Address - Fax:803-396-0735
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1-19-37403103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst