Individual
TAYLOR ALEXIS SABRE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2782 ARIZONA RD, HONOLULU, HI 96818-6233
(757) 761-7155
Mailing address
2782 ARIZONA RD, HONOLULU, HI 96818-6233
(757) 761-7155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
02/27/2026
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