Tara Manell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37303

Practice address

2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4337

Phone

(479) 802-4798

Fax

(479) 668-0589

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Petty Former name

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 and National Provider Directory roles.

• Thrive Therapy LLC

  • Behavior Analyst
  • Farmers Branch, TX
  • NPI 1639599350
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1386169399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N WALTON BLVD STE 1",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124337",
            "telephone_number": "479-802-4798",
            "fax_number": "479-668-0589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 N Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727566712",
            "country_code": "US",
            "telephone_number": "479-636-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANELL",
        "first_name": "TARA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PETTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Main Street Dental PLLC
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• Amanda Paige Maloney, MSN, APRN, FNP-C
• Jason Maloy, MHPP
• Lacie Mancia
• Amanda Dawn Manning, MSN, APRN, FNP BC-C
• Michelle R Mansker, IBCLC
• Mifrah Maqbool
• Vanessa Dorothy Maris, O.D.
• Kimalee Marple K Marple

• Behavior Analyst in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.