TARA LYNN MICKLE


Address: 575 Virginia Rd # 310b, Concord, MA 01742-2761
Phone: 9787597002

TARA LYNN MICKLE (NPI# 1669010427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669010427
Entity Type Individual
Full Name TARA LYNN MICKLE
Practice Address 575 Virginia Rd # 310b
Concord
MA 01742-2761
Mailing Address 21600 Oxnard St
Woodland Hills
CA 91367-4976
Practice Telephone 9787597002
Mailing Telephone 8193452345
Enumeration Date 2019-12-11
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician S25785508 MA Behavioral Health & Social Service Providers

Office Location

Street Address 575 VIRGINIA RD # 310B
City CONCORD
State MA
Zip Code 01742-2761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437783784 Jessika G De Castro Behavioral Analyst 575 Virginia Rd # 310b, Concord, MA 01742-2761 2020-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528674348 Camille Arcidi Dentist 747 Main Street, Suite 221, Concord, MA 01742 2020-09-17
1851916936 Paige Hamilton-read Psychologist 333 Thoreau Street, Concord, MA 01742 2020-06-14
1467926113 Judith Segal Psychologist 844 Sudbury Road, Concord, MA 01742 2019-01-16
1316422983 Lisa Colagiovanni Social Worker 54 Hillside Ave., Concord, MA 01742 2018-09-30
1932699907 Margaret C O'hearn-curran Psychologist 178 Silver Hill Rd, Concord, MA 01742 2018-05-15
1205358678 Eva Moen Pharmacist 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 2017-07-07
1215475421 Hengameh Lavasanifar Pharmacist Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 2017-02-08
1255882684 Stephanie Randazzo Counselor 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 2016-10-20
1871943704 Marjorie E. Cahn Social Worker 634 Walden Street, Concord, MA 01742 2016-06-22
1063873842 Beth Israel Lahey Health Primary Care, Inc. Internal Medicine 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 2016-03-08
Find all providers in zip 01742

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811502529 Jessica Shortell Behavior Technician 1530 Chatham Ct Nw, Concord, NC 28027-8894 2020-09-09
1821602384 Kaitlynn Driggers Behavior Technician 900 Branchview Dr Ne Ste B, Concord, NC 28025-2213 2020-09-02
1174140032 Meredith Carpenter Behavior Technician 1200 Concord Ave Ste 1001200, Concord, CA 94520-4915 2020-06-26
1700414794 Gemmy Moreno Behavior Technician 555 Virginia Rd, Concord, MA 01742-2770 2020-03-27
1407489461 Ayanna Monique Marsh Behavior Technician 84 Todd Dr Ne, Concord, NC 28025-3143 2020-02-18
1972135457 Jessica Grace Dilorenzo Behavior Technician 3604 Courage Ct Sw, Concord, NC 28027-2719 2020-02-12
1851923007 Jessica Rubin Behavior Technician 3930 Newcastle Rd, Concord, CA 94519-1221 2020-02-05
1093346538 Eric'ka Leonna Malone Behavior Technician 1835 Robin Ln Apt 1, Concord, CA 94520-3821 2020-02-03
1518505221 Zachary Miles Pelkey Behavior Technician 575 Virginia Rd, Concord, MA 01742-2761 2019-12-12
1508404385 Mattea Hakala Behavior Technician 575 Virginia Rd Ste 310b, Concord, MA 01742-2761 2019-12-12
Find all providers in CONCORD

Competitor

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City CONCORD
Zip Code 01742

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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