Individual
CHARLOTTE TUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11770 BERNARDO PLAZA CT STE 350, SAN DIEGO, CA 92128-2426
(818) 241-6780
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-4066
(818) 241-6780
(800) 819-7806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55907
CA
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/03/2018
Last updated
12/27/2021
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