Individual provider · Type 1 NPI

Tara Southall, BCABA

Assistant Behavior Analyst · Roanoke, VA

NPI number 1770026825 Active

Practice location

1314 Riverland Rd SE
Roanoke, VA 24014-3610

Mailing address

22 Cross Creek Cir
Cloverdale, VA 24077-3038

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000X0134000265 (VA)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1770026825

Tara Southall, BCABA's National Provider Identifier is 1770026825, issued on Nov 22, 2016. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Roanoke, VA. The record was last updated on Feb 4, 2020.