Individual provider · Type 1 NPI

Mallory Tucker

Behavior Technician · St. Louis, MO

NPI number 1134836299 Active

Practice location

96 Grasso Plz
St. Louis, MO 63123-3108

Call (636) 398-2515 Map

Fax (800) 687-5070

Mailing address

4721 S Cliff Ave Ste 103
Independence, MO 64055-6969

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-23-307541

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1134836299

Mallory Tucker's National Provider Identifier is 1134836299, issued on Oct 28, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 17, 2025.