Carl D Tucker JR.

NPI #1174199491 in Youngstown, Ohio

Provider Information

NPI Number: 1174199491
Entity Type: Individual
Name: Carl D Tucker JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 238 S MERIDIAN RD
City: Youngstown
State: Ohio
ZIP Code: 44509-2925
Phone: (330) 318-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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