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Individual

MS. MELISSA LYNN TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4146 PARK VILLAGE GRV, COLORADO SPRINGS, CO 80917-2603
(719) 659-6159
Mailing address
4146 PARK VILLAGE GRV, COLORADO SPRINGS, CO 80917-2603
(719) 659-6159

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60747
CO

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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