Individual
TARA PICCIRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(855) 444-5664
Mailing address
3580 HARGRAVE CT, HEBRON, KY 41048-6900
(855) 444-5664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
303018
KY
Other
Enumeration date
01/27/2022
Last updated
10/16/2025
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