| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANTONIO TUCK | 1881471274 | 2023-09-11 |
Antonio Tuck is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881471274. Registration indicates Antonio Tuck is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Antonio Tuck |
| Practice Office Address | 1582 N WAGGONER RD BLACKLICK, OH US |
| Practice Office Telephone | 3039898169 |
| Mailing Address | 1582 N WAGGONER RD BLACKLICK, OH 430048669 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |