Tarah Dawn Ebert, BCBA
Individual provider Active NPI Behavior Analyst · Williams, AZ
NPI 1962321901 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1962321901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2857 E Hoctor Rd
Williams, AZ 86046-8758 - Phone
- (623) 217-8095
- NPI assigned
- Jul 14, 2026
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | AZ | Yes |
Addresses
Primary practice location
2857 E Hoctor Rd
Williams, AZ 86046-8758
Mailing address
2857 E Hoctor Rd
Williams, AZ 86046-8758
Phone (623) 217-8095
Other providers in Williams, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. 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.