Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara Elise Randall

Individual provider Behavior Technician · NPI 1720971575

Tara Elise Randall is a Behavior Technician in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9620 Chesapeake Dr Ste 105
San Diego, CA 92123-1324
Phone: (858) 505-9083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720971575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Other providers in San Diego