Individual
STEPHANIE TWEED TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(866) 565-7222
(877) 734-1914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002309
WV
103K00000X
Behavior Analyst
Primary
1-21-54185
WV
Other
Enumeration date
10/06/2022
Last updated
04/15/2026
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