Dominique Tucker
NPI #1851969109 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1851969109
- Entity Type
- Individual
- Name
- Dominique Tucker
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 14, 2021
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 1801 AMERICAN BLVD E STE 10
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1217
- Phone
- (901) 601-8342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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