Provider Demographics
NPI:1992966071
Name:ROBINSON, TAMAR AGNES (MED, LBA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:TAMAR
Middle Name:AGNES
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MED, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 HOLGATE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-6630
Mailing Address - Country:US
Mailing Address - Phone:615-663-8872
Mailing Address - Fax:615-628-8935
Practice Address - Street 1:916 HOLGATE CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-6630
Practice Address - Country:US
Practice Address - Phone:615-663-8872
Practice Address - Fax:615-628-8935
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000006103K00000X
AL2017-094103K00000X
KY100294103K00000X
1-07-3912103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1516620Medicaid