Individual
CHRISTINA LAFFERTY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2221 KINGTOWN RD, WINFIELD, TN 37892-2233
(606) 521-5865
Mailing address
2221 KINGTOWN RD, WINFIELD, TN 37892-2233
(606) 521-5865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0000000556
TN
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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