Provider Demographics
NPI:1265227219
Name:TUCKER, ROBYNN C
Entity type:Individual
Prefix:
First Name:ROBYNN
Middle Name:C
Last Name:TUCKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LEGION DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36460-1640
Mailing Address - Country:US
Mailing Address - Phone:251-362-7879
Mailing Address - Fax:
Practice Address - Street 1:112 LEGION DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1640
Practice Address - Country:US
Practice Address - Phone:251-362-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst