Provider Demographics
NPI:1467823500
Name:YARBERRY, TARA (BCBA)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:YARBERRY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:910 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALTURAS
Mailing Address - State:CA
Mailing Address - Zip Code:96101-3704
Mailing Address - Country:US
Mailing Address - Phone:707-616-9803
Mailing Address - Fax:
Practice Address - Street 1:910 W 2ND ST
Practice Address - Street 2:
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-3704
Practice Address - Country:US
Practice Address - Phone:707-616-9803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-30301103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst