MEDICARE: TARA CASE RBT

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
1	106S00000X	Behavior Technician	20-136774	IN

General Provider Information

NPI Number	:	1942196514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA CASE RBT

Provider Business Mailing Address
First Line	:	2504 WATERBRIDGE WAY
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47710-3200
Country	:	US
Telephone Number	:	812-646-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 W DELAWARE ST
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47710-1630
Country	:	US
Telephone Number	:	812-646-2604
Fax Number	:	812-424-4780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	06/17/2025

Similar Medicare Providers

1578251526 — BRILLIANT CONNECTIONS, INC
Practice Location Address:

730 W DELAWARE ST
EVANSVILLE, IN
47710-1630

Practice Phone: 812-646-2604
Practice Fax: 812-591-7206

1568358299 — SHELBY STONER RBT
Practice Location Address:

730 W DELAWARE ST
EVANSVILLE, IN
47710-1630

Practice Phone: 812-646-2604
Practice Fax:

1700711546 — BROOKE A OLDHAM NP
Practice Location Address:

4506 1ST AVE
EVANSVILLE, IN
47710-3624

Practice Phone: 812-428-6161
Practice Fax: 812-421-2883

1508791260 — DR. MARY JANET COHORST
Practice Location Address:

600 MARY ST
EVANSVILLE, IN
47710-1658

Practice Phone: 812-450-3394
Practice Fax:

1235883232 — MISS ANDREA ROSE PHAN MSN, APRN, FNP-BC
Practice Location Address:

600 MARY ST
EVANSVILLE, IN
47710-1658

Practice Phone: 812-425-2646
Practice Fax:

1548192099 — KELLY GUTH PT
Practice Location Address:

600 MARY ST
EVANSVILLE, IN
47710-1658

Practice Phone: 812-450-3393
Practice Fax:

Directions to “ TARA CASE RBT” 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.