Individual
MS. LINZIE TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
601 NOBLE DR, FORT WAYNE, IN 46825
(260) 420-9332
Mailing address
601 NOBLE DR STE 20, FORT WAYNE, IN 46825-5544
(260) 420-9332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25702
IN
106E00000X
Assistant Behavior Analyst
0167543
IN
Other
Enumeration date
01/19/2017
Last updated
12/05/2022
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