Benjamin Tucker, M.S., LPCC, BCBA
Behavior Analyst in Berkeley, CA. Individual provider (NPI-1).
NPI number1144580960
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1144580960
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Tucker
- Credential
- M.S., LPCC, BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2012
- Last updated
- Jul 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-11-9431 | – | Yes |
| 101YP2500X | Counselor, Professional | PCC5297 | CA |
Practice location
2625 Alcatraz Ave Ste 609Berkeley, CA 94705
Phone 650-208-8320
Mailing address
2625 Alcatraz Ave Ste 609Berkeley, CA 94705-2702
Phone 650-208-8320
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