AUDRA TACKETT

Behavior Technician

Active Individual
NPI: 1447828405

Practice Address

2430 VAN BUREN AVE
Springfield, OH 45505

Phone: (303) 989-8169

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1447828405 is the National Provider Identifier for AUDRA TACKETT, a Behavior Technician provider located in Springfield, OH. This NPI was enumerated on June 16, 2021.
AUDRA TACKETT practices at 2430 VAN BUREN AVE, Springfield, OH 45505.

Quick Facts

NPI
1447828405
Type
Individual
Enumerated
Jun 16, 2021
Last Updated
Jun 16, 2021

Nearby Providers