Search › Virginia › 106E00000X
Tara Southall, BCABA
NPI 1770026825 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1314 Riverland Rd Se
Roanoke, VA 24014 - Phone
- (540) 566-3670
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 106E00000X
106E00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia