Provider Demographics
NPI:1104457886
Name:TOMPKINS, TANYA MARIE (BCBA)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:TOMPKINS
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 1:30264 W SHEILA LN
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-7334
Mailing Address - Country:US
Mailing Address - Phone:424-400-9821
Mailing Address - Fax:
Practice Address - Street 1:30264 W SHEILA LN
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-7334
Practice Address - Country:US
Practice Address - Phone:424-400-9821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician