Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770026825 Individual Practitioner Female Practitioner

Tara Southall , BCaBA

Assistant Behavior Analyst • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Tara Southall, BCaBA is a registered healthcare professional specializing in Assistant Behavior Analyst in Roanoke, VA. Practice services are available at 1314 RIVERLAND RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1314 Riverland Rd Se

Roanoke, VA 240143610

Telephone 5405663670

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Roanoke, VA (276 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: 2020-02-04
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

State License VA 0134000265

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 or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Toni Boone

Behavior Technician

NPI 1386254431

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 04, 2020

Registered at 1314 RIVERLAND RD SE, ROANOKE, VA 240143610 (Tel: 5405663670)

📍
Updated Business Mailing Address February 04, 2020

Registered at 22 CROSS CREEK CIR, CLOVERDALE, VA 240773038 (Tel: 5402720462)

👤
Provider Name / Credentials Updated February 04, 2020

Recorded as TARA SOUTHALL, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Assistant Behavior Analyst (License #0134000265 in VA)

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2016

Registered at 1354 8TH ST SW, ROANOKE, VA 240151812 (Tel: 5403421892)

📍
Updated Business Mailing Address November 22, 2016

Registered at 2635 FAIRWAY DR SW, ROANOKE, VA 240153423 (Tel: 5402720462)

👤
Provider Name / Credentials Updated November 22, 2016

Recorded as TARA SOUTHALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Behavior Technician (License #T63815901 in VA)

🟢
Initial NPI Registration & Enumeration November 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770026825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2016
Last Update: February 04, 2020
Sole Proprietor: Yes

Mailing Address

22 Cross Creek Cir

Cloverdale, VA 240773038

Phone: 5402720462

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.