Tara M Poulos
Individual provider Active NPI Behavior Technician · Cramerton, NC
NPI 1376209692 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1376209692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-48740 (NC)
- Practice address
- 155 8TH Ave
Cramerton, NC 28032-1401 - Phone
- (980) 295-3431
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-48740 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-48740 | NC | Yes |
Addresses
Primary practice location
155 8TH Ave
Cramerton, NC 28032-1401
Mailing address
155 8TH Ave
Cramerton, NC 28032-1401
Phone (980) 295-3431
Other providers in Cramerton, NC
- Trina Mingus
- Kamini Mirchandani
- Karl H Moyers
- Partners in Prosperity PLLC
- Joanna Mary Patronis
- Monica J.a. Powell
- Rha Health Services NC, LLC
- Chelsea Simcox
- Speech and Swallowing Solutions PLLC
- Alicia L Taylor
All providers in Cramerton, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.