GENNIE TUCKER LCSW
NPI 1295147023
Behavior Analyst in Bountiful, UT

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: July 19, 2026.

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
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

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

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.

Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010
Behavior Technician
415 MEDICAL DR STE D101
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295147023, enumerated as an "individual" on May 28, 2014.

The provider is located at 415 MEDICAL DR STE D101 BOUNTIFUL, UT 84010 and the phone number is (801) 683-1062.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.