Individual
MRS. KIMBERLY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 QUAIL LAKE LOOP STE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2152
Mailing address
1330 QUAIL LAKE LOOP STE 200, COLORADO SPRINGS, CO 80906-4651
(719) 540-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56479
CO
106E00000X
Assistant Behavior Analyst
0-18-9386
CO
Other
Enumeration date
12/18/2017
Last updated
12/15/2021
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