Shanna Rene Tucker, RBT
NPI #1518477173 in Winfield, West Virginia
Provider Information
- NPI Number
- 1518477173
- Entity Type
- Individual
- Name
- Shanna Rene Tucker, RBT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- RBT
- Enumeration Date
- Oct 9, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 2631 STATE ROUTE 34
- City
- Winfield
- State
- West Virginia
- ZIP Code
- 25213-7797
- Phone
- (681) 235-3114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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