Individual
MRS. TARA RENEE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E CHEYENNE MTN BLVD., STE C-372, COLORADO SPRINGS, CO 80906-4570
(855) 832-6727
(772) 675-9100
Mailing address
1915 AEROTECH DR STE 180, COLORADO SPRINGS, CO 80916-4213
(719) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81491
CO
106S00000X
Behavior Technician
RBT-20-116552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
04/29/2020
Last updated
01/25/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us