Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cannon Tucker Ridgeway

Individual provider Behavior Technician · NPI 1508424607

Cannon Tucker Ridgeway is a Behavior Technician in Lithia, Florida. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone: (813) 467-9280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1508424607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESJune 3, 2019
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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