Tara Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3750 E Palm Valley Blvd Unit 44
Round Rock, TX 78665-3314

Phone

(757) 300-4664

NPI assigned

Dec 12, 2023

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

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1235907072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 E PALM VALLEY BLVD UNIT 44",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653314",
            "telephone_number": "757-300-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E PALM VALLEY BLVD UNIT 44",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653314",
            "telephone_number": "757-300-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Anderson, LCDC
• Brian Benjamin Anderson, D.O.
• Eleanor Anderson, MA, LPC-ASSOCIATE
• Leila Christine Anderson, LMFT-S
• Sabrina Anderson, LPC ASSOCIATE
• Tiana Marie Anderson, PSYD
• Yulonda Anderson
• Gregory Andrew, FNP
• Cheryl Kathleen Andrews, LPC
• Angelguard Medical Transportation, Inc.

• Behavior Technician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.