Tara Humphrey, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA #286 Issued in OH

Practice address

5929 Waynegate Rd
Huber Heights, OH 45424-1157

Phone

(937) 545-0140

NPI assigned

Nov 2, 2016

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

State licenses

Practice roles

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

• Heartlinks ABA in LLC

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1225796352
  NPD (past)

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1083166334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 WAYNEGATE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241157",
            "telephone_number": "937-545-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 WAYNEGATE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241157",
            "telephone_number": "937-545-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "TARA",
        "credential": "BCBA, COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "BACB#1-16-23725",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA #286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huber Heights Holdings, LLC
• Huber Heights Holdings, LLC
• Huber Heights Medical Center Inc
• Rusty Hudson
• Stephanie Lynn Hughes, RPH
• Abigayle Hunter, RBT
• Robert L Hunter, DO
• Sally Ann Huston, RPH
• Catherine Elizabeth Hutton-Wightman, D.C.
• Kyle Hysinger

• Behavior Analyst in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.