Provider Demographics
NPI:1417762006
Name:LINDLINE, TARA A (BCBA)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:A
Last Name:LINDLINE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLAT 15, JERRARD COURT
Mailing Address - Street 2:PAGES CLOSE
Mailing Address - City:SUTTON COLDFIELD
Mailing Address - State:WEST MIDLANDS
Mailing Address - Zip Code:B75 7SZ
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16 2ND ST NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6105
Practice Address - Country:US
Practice Address - Phone:828-358-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst