Individual
JESSIKA ANNE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 W ELDORADO PKWY, LITTLE ELM, TX 75068-3540
(214) 778-1153
Mailing address
2831 W ELDORADO PKWY, LITTLE ELM, TX 75068-3540
(214) 778-1153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53371
TX
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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