Tara Cozad, RBAI

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

10191330 Issued in OR

Practice address

8019 NE 13TH Ave
Vancouver, WA 98665-9604

Phone

(360) 984-3131

NPI assigned

Sep 18, 2018

Last updated

Aug 6, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1568946275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "360-984-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659604",
            "telephone_number": "360-984-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZAD",
        "first_name": "TARA",
        "credential": "RBAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "10191330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.