Individual
NATALIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6185 LES DORSON LN, ALEXANDRIA, VA 22315-3227
(602) 558-0971
Mailing address
6185 LES DORSON LN, ALEXANDRIA, VA 22315-3227
(602) 558-0971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001046
VA
Other
Enumeration date
10/17/2012
Last updated
10/18/2017
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