Whalio Doctors

NPI 1003424136

Elizabeth Marie Tucker

Practitioner Behavior Technician Jeffersonville, IN

Practice location

Address
355 Quartermaster CT, Jeffersonville, IN 47130-3670
Phone
(812) 258-9802
Fax
(317) 520-8200
Mailing address
3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-20-127177 (IN)

Registry record

NPI
1003424136
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jul 2020
Record last updated
15 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.