Individual
TARA CATHERINE WARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 N 4TH ST STE 105, LARAMIE, WY 82072-2091
(307) 212-3284
Mailing address
1575 N 4TH ST STE 105, LARAMIE, WY 82072-2091
(307) 212-3284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26520637
WY
Other
Enumeration date
03/11/2026
Last updated
04/02/2026
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