Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669010427 Individual Practitioner Female Practitioner

Tara Lynn Mickle

Behavior Technician • Concord, MA

Professional Overview & Biography Verified Profile Summary

Tara Mickle is a registered healthcare professional specializing in Behavior Technician in Concord, MA. Practice services are available at 575 VIRGINIA RD # 310B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

575 Virginia Rd # 310b

Concord, MA 017422761

Telephone 9787597002
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Concord, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Concord, MA (11487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-11
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License MA S25785508

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Anya Botman

Behavior Analyst

NPI 1063175867
Sarah Klieger

Behavior Technician

NPI 1194397364
Sara Elkerm

Behavior Analyst

NPI 1255092342
Brooke Williams

Behavior Technician

NPI 1447969183
Emerson Jones

Behavior Analyst

NPI 1457020224
Macha Cejour

Behavior Analyst

NPI 1457999153

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2019

Registered at 575 VIRGINIA RD # 310B, CONCORD, MA 017422761 (Tel: 9787597002)

📍
Updated Business Mailing Address December 11, 2019

Registered at 21600 OXNARD ST, WOODLAND HILLS, CA 913674976 (Tel: 8193452345)

👤
Provider Name / Credentials Updated December 11, 2019

Recorded as TARA MICKLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Behavior Technician (License #S25785508 in MA)

🟢
Initial NPI Registration & Enumeration December 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669010427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2019
Last Update: December 11, 2019
Sole Proprietor: No

Mailing Address

21600 Oxnard St

Woodland Hills, CA 913674976

Phone: 8193452345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.