Individual
ABBY RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1202 TECH BLVD STE 104, TAMPA, FL 33619-7863
(813) 438-6796
Mailing address
1202 TECH BLVD STE 104, TAMPA, FL 33619-7863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12260964
KY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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