GENNIE TUCKER, LCSW

Behavior Analyst

Active Individual
NPI: 1295147023

Practice Address

415 MEDICAL DR STE D101
Bountiful, UT 84010

Phone: (801) 683-1062

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X No 74547943501 (UT)
Behavior Analyst 103K00000X Yes 74547942506 (UT)

Frequently Asked Questions

NPI 1295147023 is the National Provider Identifier for GENNIE TUCKER, LCSW, a Behavior Analyst provider located in Bountiful, UT. This NPI was enumerated on May 28, 2014.
GENNIE TUCKER, LCSW practices at 415 MEDICAL DR STE D101, Bountiful, UT 84010.

Quick Facts

NPI
1295147023
Type
Individual
Enumerated
May 28, 2014
Last Updated
Nov 12, 2018

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