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1033945134
JARVIK LEON TUCKSON
METAIRIE, LA
NPI
1033945134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-09-13
Last Update Date
2024-09-19
Business Address
JARVIK LEON TUCKSON
4202 N I-10 SERVICE RD W
METAIRIE, LA 70006
Phone number: 927-088-8880
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Mailing Address
JARVIK LEON TUCKSON
350 FAIRWAY DR STE 101
DEERFIELD BCH, FL 33441-1834
Phone number: 877-418-2978
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