Individual
RODNAE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
868 WOODMERE DR, KEYPORT, NJ 07735-5541
(732) 275-4750
Mailing address
393 FAIRFIELD WAY, KEYPORT, NJ 07735-5410
(732) 275-4750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
14491328
NJ
Other
Enumeration date
07/23/2021
Last updated
01/17/2026
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