Chylan Tucker I

NPI #1962059253 in Cocoa, Florida

Provider Information

NPI Number: 1962059253
Entity Type: Individual
Name: Chylan Tucker I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2019
Last Updated: Aug 21, 2019

Practice Location

Address: 453 KING ST
City: Cocoa
State: Florida
ZIP Code: 32922-7621
Phone: (321) 633-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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