TEALIE TACKETT

Behavior Technician

Active Individual
NPI: 1003793332

Practice Address

997 ATLANTIC BLVD
Atlantic Beach, FL 32233

Phone: (904) 647-1849

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1003793332 is the National Provider Identifier for TEALIE TACKETT, a Behavior Technician provider located in Atlantic Beach, FL. This NPI was enumerated on August 19, 2025.
TEALIE TACKETT practices at 997 ATLANTIC BLVD, Atlantic Beach, FL 32233.

Quick Facts

NPI
1003793332
Type
Individual
Enumerated
Aug 19, 2025
Last Updated
Aug 19, 2025

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