GINA TACKETT

Behavior Technician

Active Individual
NPI: 1508597261

Practice Address

1430 OLIVE ST STE 400
Saint Louis, MO 63103

Phone: (314) 206-3700

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1508597261 is the National Provider Identifier for GINA TACKETT, a Behavior Technician provider located in Saint Louis, MO. This NPI was enumerated on June 22, 2022.
GINA TACKETT practices at 1430 OLIVE ST STE 400, Saint Louis, MO 63103.

Quick Facts

NPI
1508597261
Type
Individual
Enumerated
Jun 22, 2022
Last Updated
Jun 22, 2022

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