Individual
JARVIK LEON TUCKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4202 N I-10 SERVICE RD W, METAIRIE, LA 70006
(927) 088-8880
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BCH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/13/2024
Last updated
09/19/2024
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