Individual
SONYA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY # 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
16262 COPPERRIDGE WAY, CALDWELL, ID 83607-5087
(208) 250-8741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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