GENNIE TUCKER LCSW
NPI 1295147023
Behavior Analyst in Bountiful, UT

Q: What is Gennie Tucker's NPI number?

The NPI number for Gennie Tucker is 1295147023. It was assigned to this individual provider in the NPPES registry on May 28, 2014. The provider is also known as Gennie Lee Russell Lcsw.

Q: What is Gennie Tucker's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Gennie Tucker was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2014

415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010(801) 683-1062 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Gennie Tucker Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENNIE TUCKER LCSW (NPI 1295147023) is an individual behavior analyst provider in Bountiful, Utah, licensed in Utah (74547942506) and active in the NPI registry since May 2014. She maintains a secondary practice location in Farr West.

NPPES Registry Identity

NPI1295147023

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameGENNIE TUCKERCredential: LCSW

Location Address415 MEDICAL DR STE D101Bountiful, UT 84010-8905

Mailing Address555 E 4500 S, Suite 150 CSalt Lake City, UT 84107-4533 · (801) 288-0747

Phone(801) 683-1062

Sole ProprietorYes

Enumeration DateMay 28, 2014

Last NPPES UpdateNovember 12, 2018

✔ NPI 1295147023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in UT · 74547942506

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 74547943501 (UT)

415 MEDICAL DR STE D101, Bountiful, UT 84010

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Other Names 1

Former Name (1)Gennie Lee Russell Lcsw

Secondary Practice Location 1

Location 12811 N 2350 WFarr West, UT 84404-5177 · Phone (801) 452-1940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREMEN WILLIAM ACORD

Social Worker (Clinical)