Jarvik Leon Tuckson
Individual provider Active NPI Behavior Technician · Metairie, LA
NPI 1033945134 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1033945134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4202 N I-10 Service Rd W
Metairie, LA 70006 - Phone
- (927) 088-8880
- NPI assigned
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LA | Yes | |
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
4202 N I-10 Service Rd W
Metairie, LA 70006
Mailing address
350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Phone (877) 418-2978
Other practice location 1
118 Village St
Slidell, LA 70458-5302
Phone (504) 679-1598
Other providers in Metairie, LA
- Tucker Designs LTD
- Cinnamon Brooke Tucker
- David Lawrence Tucker Jr.
- Lauren M. Tucker
- Layni Tucker
- Tuhc Anesthesiology Group LLC
- Tuhc Radiology Group LLC
- Tulane-Lakeside Hospital Pharmacy
- Evelyn Tureaud
- Brooke Gros Turnbull
All providers in Metairie, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.