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Individual

TARA MANELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2601 N WALTON BLVD STE 1, BENTONVILLE, AR 72712-4337
(479) 802-4798
(479) 668-0589
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37303
106S00000X
Behavior Technician

Other

Enumeration date
08/10/2017
Last updated
04/03/2025
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