| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANAE PRECIOUS TUCKER | 1174139653 | 2020-09-19 |
Shanae Precious Tucker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174139653. Registration indicates Shanae Precious Tucker is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Shanae Precious Tucker |
| Practice Office Address | 2631 MERRICK RD STE 302 BELLMORE, NY US |
| Practice Office Telephone | 5165907575 |
| Mailing Address | 25114 MEMPHIS AVE ROSEDALE, NY 114222557 US |
| Business Telephone | 3474556740 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |