Southall, Tara
Southall, Tara is an sole proprietor health care provider with primary practice located at 1314 Riverland Rd Se , Roanoke VA 24014-3610. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Southall, Tara can be contacted via phone (540) 566-3670.Contact Information
Primary practice address
1314 Riverland Rd Se
Roanoke VA 24014-3610
Phone: (540) 566-3670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0134000265 | Virginia |
Profile Details
| NPI number | 1770026825 |
|---|---|
| LBN Legal business name | Southall, Tara |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2016 |
| Last updated | Feb 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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