Individual
TUCKER KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
338 BROADWAY ST STE 301-302, CAPE GIRARDEAU, MO 63701-7367
(573) 708-7250
(800) 687-5070
Mailing address
4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 64055-6969
(816) 608-1956
(800) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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