Gina Tackett
Gina Tackett is a Behavior Technician in Saint Louis, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1430 Olive St Ste 400Saint Louis, MO 63103-2303
Phone: (314) 206-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1508597261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2022 |
| Last updated in NPPES | June 22, 2022 |
| Certification date | June 22, 2022 |
| Mailing address | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 |
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