Active NPI
Raquel-Monet Tucker, RBT
- Behavior Technician
- Savannah, GA
National Provider Identifier
1083224299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1-07-3468
- Practice address
- 5710 Ogeechee Road
Suite 200 - 251
Savannah, GA 31405-9515 - Phone
- (912) 434-4343
- Fax
- (912) 452-9600
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1-07-3468 | GA | Primary |
Addresses
Primary practice location
5710 Ogeechee Road
Suite 200 - 251
Savannah, GA 31405-9515
Mailing address
5710 Ogeechee Road
Suite 200 - 251
Savannah, GA 31405-9515
Phone (912) 434-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-07-3468 | Other | RBT CERTIFICATION - RELIAS LEARNING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Savannah | Health Information Exchange (HIE) | Grace Autism Services Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1083224299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 OGEECHEE ROAD",
"address_2": "SUITE 200 - 251",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314059515",
"telephone_number": "912-434-4343",
"fax_number": "912-452-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OGEECHEE ROAD",
"address_2": "SUITE 200 - 251",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314059515",
"telephone_number": "912-434-4343",
"fax_number": "912-452-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "RAQUEL-MONET",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2023-11-27",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "1-07-3468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT CERTIFICATION - RELIAS LEARNING",
"identifier": "1-07-3468",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Savannah",
"affiliation": "Y",
"endpointDescription": "Central Reach Patient Management Software",
"affiliationName": "Grace Autism Services Inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5710 Ogeechee Road",
"address_2": "Suite 200 - 251",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314059515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.