Individual
DR. VANESSA EVE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
2732 38TH ST SE, PUYALLUP, WA 98374-1943
(253) 391-6784
(877) 768-7946
Mailing address
2732 38TH ST SE, PUYALLUP, WA 98374-1943
(253) 391-6784
(877) 768-7946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-10501
WA
103K00000X
Behavior Analyst
Primary
BA60811474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-10501
BOARD CERTIFIED BEHAVIOR ANALYST
WA
01
—
BA60811474
HEALTH CARE AUTHORITY HCA
WA
Enumeration date
06/17/2012
Last updated
02/05/2025
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