Tara Shawn Boland, BEHAVIOR ANALYST

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8944 Issued in CA

Practice address

31350 Rancho Vista Rd
Temecula, CA 92592-6200

Phone

(951) 595-9563

NPI assigned

May 27, 2020

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1740803543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31350 RANCHO VISTA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926200",
            "telephone_number": "951-595-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31350 RANCHO VISTA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926200",
            "telephone_number": "951-595-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "TARA",
        "middle_name": "SHAWN",
        "credential": "BEHAVIOR ANALYST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-8944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Bogdon
• Laurence Henry Boggeln, M. D.
• Anto Boghokian, DO
• Laurie Michelle Bohannon, SLP
• Darion Bokelman
• Amelia Bolaris
• Jennifer Bolden, ASW
• Jessica Bolet, LPCC, PPS
• Celine Bollos
• Gianna Charlene Bologna

• Behavior Analyst in Temecula, CA
• Providers in Temecula, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.