DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIA HALL

MEDICARE: TIA HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1396697553
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIA HALL
Provider Business Mailing Address
First Line : 1827 E IRELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46614-2845
Country : US
Telephone Number : 574-387-4313
Fax Number :
Provider Business Practice Location Address
First Line : 511 W LINCOLN AVE
Second Line :
City : GOSHEN
State : IN
Zip : 46526-2430
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

Similar Medicare Providers

1992658231 — ANASTASIA ATTALI
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax:
1770388035 — BECKY GOMEZ
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax: 574-204-2868
1063909091 — GARRISON RILEY HOCKER BCBA, LBA
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax:
1750030227 — LANAE NICOLE ASHER BCBA
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax:
1417712126 — VERONICA HERNANDEZ
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax:
1538980503 — KATHRYN BOBSON
Practice Location Address:
511 W LINCOLN AVE
GOSHEN, IN
46526-2430
Practice Phone: 574-387-4313
Practice Fax:

Directions to “ TIA HALL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.