Individual
NYLA HENRY-TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4400
Mailing address
4611 RAYLEE CT, OWENS CROSS ROADS, AL 35763-5022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-448860
AL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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