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

Dominique Tucker

Individual provider Behavior Technician · NPI 1336852847

Dominique Tucker is a Behavior Technician in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

490 Chadbourne Rd Ste A131
Fairfield, CA 94534-1862
Phone: (844) 636-3987
Fax: (707) 402-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1336852847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address490 Chadbourne Rd Ste A131, Fairfield, CA 94534-1862

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