IndividualActive
Tara Southall, BCABA
NPI 1770026825 · Assistant Behavior Analyst · Roanoke, VA
Provider details
- NPI number
- 1770026825
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCABA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0134000265 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1314 Riverland Rd Se
Roanoke, VA 24014-3610
Phone: (540) 566-3670
Street-level locationGet directions
Mailing address
22 Cross Creek Cir
Cloverdale, VA 24077-3038
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.