Tucker, Benjamin

Tucker, Benjamin is an individual health care provider with primary practice located at 2625 Alcatraz Ave Ste 609 , Berkeley CA 94705. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Tucker, Benjamin can be contacted via phone (650) 208-8320.

Contact Information

Primary practice address
2625 Alcatraz Ave Ste 609 Berkeley CA 94705
Phone: (650) 208-8320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PCC5297 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-9431

Profile Details

NPI number 1144580960
LBN Legal business name Tucker, Benjamin
Credentials M.S., LPCC, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2012
Last updated Jul 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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