Individual
TARA M HUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(443) 962-0494
Mailing address
2121 AMANDA MEADOW CT, HERMITAGE, TN 37076-3735
(443) 962-0494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-157833
TN
Other
Enumeration date
11/10/2021
Last updated
01/14/2026
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