Individual
AMIA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2994 HARLOW LN, DECATUR, GA 30034-2408
(470) 514-9926
Mailing address
2994 HARLOW LN, DECATUR, GA 30034-2408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365360
GA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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