Tealie Michelle Tackett

NPI #1003793332 in Atlantic Beach, Florida

Provider Information

NPI Number: 1003793332
Entity Type: Individual
Name: Tealie Michelle Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 19, 2025
Last Updated: Aug 19, 2025

Practice Location

Address: 997 ATLANTIC BLVD
City: Atlantic Beach
State: Florida
ZIP Code: 32233-3311
Phone: (904) 647-1849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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