Provider Demographics
NPI:1477358364
Name:DAY-ALEMAN, TARA C (MED, BCBA)
Entity type:Individual
Prefix:MS
First Name:TARA
Middle Name:C
Last Name:DAY-ALEMAN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:AVINGER
Mailing Address - State:TX
Mailing Address - Zip Code:75630-2850
Mailing Address - Country:US
Mailing Address - Phone:903-263-1164
Mailing Address - Fax:
Practice Address - Street 1:4115 N KINGS HWY STE 112
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4855
Practice Address - Country:US
Practice Address - Phone:903-263-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7937103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst