STEPHANIE TACKETT

Behavior Technician

Active Individual
NPI: 1962927301

Practice Address

19503 S WEST VILLAGES PKWY STE 11
Venice, FL 34293

Phone: (813) 720-7529

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1962927301 is the National Provider Identifier for STEPHANIE TACKETT, a Behavior Technician provider located in Venice, FL. This NPI was enumerated on August 7, 2017.
STEPHANIE TACKETT practices at 19503 S WEST VILLAGES PKWY STE 11, Venice, FL 34293.

Quick Facts

NPI
1962927301
Type
Individual
Enumerated
Aug 7, 2017
Last Updated
Feb 21, 2025

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