Provider Demographics
NPI:1780196071
Name:MCEWEN-ASKER, TAMSIN MARY (BCBA)
Entity Type:Individual
Prefix:
First Name:TAMSIN
Middle Name:MARY
Last Name:MCEWEN-ASKER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 E. PACHECO BLVD STE B # 162
Mailing Address - Street 2:LOS BANOS CA 93635
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635
Mailing Address - Country:US
Mailing Address - Phone:408-391-3251
Mailing Address - Fax:
Practice Address - Street 1:1915 N HOWARD RD SUITE B&C
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637
Practice Address - Country:US
Practice Address - Phone:818-345-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0-16-7275106E00000X
1-19-38287103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst