TARA SOUTHALL

ROANOKE, VA
NPI1770026825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106E00000X Assistant Behavior Analyst
(Licence: VA  0134000265)
Enumeration Date2016-11-22
Last Update Date2020-02-04
Business Address
TARA SOUTHALL BCaBA
1314 RIVERLAND RD SE
ROANOKE, VA 24014-3610
Phone number: 540-566-3670
Mailing Address
TARA SOUTHALL BCaBA
22 CROSS CREEK CIR
CLOVERDALE, VA 24077-3038
Phone number: 540-272-0462
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