BENJAMIN TUCKER


Address: 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705
Phone: 6502088320

BENJAMIN TUCKER (NPI# 1144580960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144580960
Entity Type Individual
Full Name BENJAMIN TUCKER
Credential M.S., LPCC, BCBA
Practice Address 2625 Alcatraz Ave Ste 609
Berkeley
CA 94705
Mailing Address 2625 Alcatraz Ave Ste 609
Berkeley
CA 94705-2702
Practice Telephone 6502088320
Mailing Telephone 6502088320
Enumeration Date 2012-05-26
Last Update Date 2018-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
PCC5297 CA Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst 1-11-9431 Behavioral Health & Social Service Providers

Other Providers BENJAMIN TUCKER

NPI Name Taxonomy Address Enumeration
1053952945 Benjamin Tucker Pharmacist 400 Hospital Rd, Starkville, MS 39759-2163 2019-10-02

Office Location

Street Address 2625 ALCATRAZ AVE STE 609
City BERKELEY
State CA
Zip Code 94705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265945844 Open Spectrum Behavior Therapy Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2017-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882956 Diane Lomas Wyatt Marriage & Family Therapist 2340 Ward St. Ste 104, Berkeley, CA 94705 2020-02-12
1700371275 Icecreamwala Dermatology Inc Dermatology 2435 Webster St Ste 101, Berkeley, CA 94705 2018-06-27
1396253803 David R Shaddock Marriage & Family Therapist 3030 Ashby Avenue, # 105, Berkeley, CA 94705 2018-01-18
1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
1659898740 Hunter Brown Student in an Organized Health Care Education/Training Program Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 2017-08-29
1588014534 Heather Valdez Social Worker 2185 Ashby Ave, Berkeley, CA 94705 2016-06-20
1215350145 S.e.e.d.s. (social and Emotional Education Development and Support) Community/Behavioral Health 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 2014-01-29
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
1518255892 Erika D Huguenard Counselor 2811a College Avenue, Berkeley, CA 94705 2011-07-20
1306139126 Kalub J Jarosh Acupuncturist 2835 Ellsworth St, Berkeley, CA 94705 2011-05-26
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811553621 Brittney Jerrilena Monique Garrett Behavioral Analyst 1901 Stuart St, Berkeley, CA 94703 2019-05-16
1336610526 Mikela Marie Mosley Behavioral Analyst 2218 Acton St, Berkeley, CA 94702-1915 2018-12-16
1568932697 Sydney Breen Partos Behavioral Analyst 2208 Blake St, Berkeley, CA 94704-2710 2018-12-02
1861967937 Mayleen Thi Leguzman Behavioral Analyst 1951 Chestnut St Apt 206, Berkeley, CA 94702-1702 2018-10-04
1033600333 Jesse Raine Andros Behavioral Analyst 2080 Addison St Ste 3, Berkeley, CA 94704-1693 2018-05-22
1700303187 Kelly Lynn Knowles Behavioral Analyst 2425 Channing Way Ste B, Berkeley, CA 94704-2260 2017-08-25
1841727781 Vivian Louise Flaherty Behavioral Analyst 2636 Martin Luther King Jr. Way, Berkeley, CA 94704 2017-05-22
1104361237 Lauren Fish Behavioral Analyst 2560 9th Street, Suite 220, Berkeley, CA 94710-2516 2016-12-28
1750739751 Adriana Lopez Behavioral Analyst 2330 Blake St Apt 1, Berkeley, CA 94704-2845 2016-05-31
1245624832 Jody Slendebroek Behavioral Analyst 2560 9th Street Suite 220a, Ste Consultants LLC, Berkeley, CA 94710 2015-03-23
Find all providers in BERKELEY

Competitor

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City BERKELEY
Zip Code 94705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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