Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA SOUTHALL, BCABA
Active Sole ProprietorTARA SOUTHALL, BCABA is a Assistant Behavior Analyst healthcare provider located in ROANOKE, Virginia. NPI 1770026825 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · ROANOKE, VA
Registration Details
- NPI Number
- 1770026825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2016 (9.684990236859 yrs)
- Last Updated
- Feb 4, 2020
- License
-
0134000265 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1314 RIVERLAND RD SEROANOKE, VA, 240143610Browse VA providers · Browse ZIP 24014
- Phone
- 5405663670
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
Other Assistant Behavior Analyst Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| DAPHNE GILLIAM | BCABA | 1326553470 |
| DANIELA GAONA GARCIA | BCABA | 1790287670 |
| KATELYN GATZKE | BCABA | 1124678891 |
| JESSICA LYNN MALTBIE | BCABA | 1548915507 |
| ERICA PATRICIA MALONEY | BCABA | 1114798444 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.