Tara Talley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

205 S Main St Apt 3G
Wingate, NC 28174-9716

Phone

(618) 663-9010

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1053089375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST APT 3G",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749716",
            "telephone_number": "618-663-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST APT 3G",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749716",
            "telephone_number": "618-663-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Smith
• Social Butterflies Care
• Social Butterfly Community Care
• Andrew Sorenson, MS, ATC, LAT
• Rashonda Lakeisha Sturdivant, RN
• Christen Thompson Stiggers, DDS
• Mallory R Thompson
• Union County Residential Services, Inc.
• Rashi Chandra Waghel, PHARM.D.
• James Paul Williams

• All providers in Wingate, NC
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.