Individual
MS. CHRISTINA LEE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
4647 CLYDE MORRIS BLVD UNIT 501, PORT ORANGE, FL 32129-3001
(386) 767-3752
(386) 767-4319
Mailing address
4647 CLYDE MORRIS BLVD UNIT 501, PORT ORANGE, FL 32129-3001
(386) 767-3752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12857
FL
Other
Enumeration date
04/22/2009
Last updated
06/15/2021
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