Healthcare Provider Details

I. General information

NPI: 1518881069
Provider Name (Legal Business Name): TARA LOREN MCKEE MS, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15335 MORRISON ST STE 235
SHERMAN OAKS CA
91403-6707
US

IV. Provider business mailing address

5500 OWENSMOUTH AVE APT 106
WOODLAND HILLS CA
91367-7005
US

V. Phone/Fax

Practice location:
  • Phone: 818-439-9472
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: