Individual
MS. TARA ELIZABETH KHODADADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A
Contact information
Practice address
ONE WORLD TRADE CENTER, 121 SOUTHWEST SALMON STREET, 11, PORTLAND, OR 97204-2908
(818) 371-5378
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12936
CA
Other
Enumeration date
04/22/2013
Last updated
08/28/2025
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