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Individual
MRS. SHELBY BREANN TUCKER
Active
Individual
MRS. SHELBY BREANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB330712
CA
103T00000X
Psychologist
4557
CA
103TS0200X
School Psychologist
220108724
CA
Other
Enumeration date
02/24/2025
Last updated
02/25/2025
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