Tara Freeman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47980 Issued in LA

Practice address

800 Jackson Ave
Mandeville, LA 70448-5328

Phone

(504) 451-2543

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northshore Autism Center, LLC

  • Early Intervention Provider Agency
  • Mandeville, LA
  • NPI 1629512652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1013502939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74244 AIRPORT RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355660",
            "telephone_number": "732-379-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JACKSON AVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485328",
            "telephone_number": "504-451-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TARA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-21-47980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Lynne Francis, PHD
• Arthur J. Franz III, O.D.
• Fred a. Miller, DC, LLC (Doctors Chiropractic Group)
• Richard P Frederickson02/
• Carol Freeman, PHD
• Charlotte Michelle Fuller, APRN
• Larkin Ellison Fultz, LCSW
• Fussell Health, LLC
• Catherine Bordelon Fussell
• Edward Martin Gaber, M.D.

• Behavior Analyst in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.