Provider Demographics
NPI:1225917560
Name:HAWTHORNE, TASWANA RASHAYLE (BACJ)
Entity type:Individual
Prefix:MRS
First Name:TASWANA
Middle Name:RASHAYLE
Last Name:HAWTHORNE
Suffix:
Gender:F
Credentials:BACJ
Other - Prefix:
Other - First Name:TASWANA
Other - Middle Name:RASHAYLE
Other - Last Name:BEASLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BACJ
Mailing Address - Street 1:610 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-1439
Mailing Address - Country:US
Mailing Address - Phone:743-208-1930
Mailing Address - Fax:743-208-1930
Practice Address - Street 1:606 E DAVIS ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5922
Practice Address - Country:US
Practice Address - Phone:336-513-8550
Practice Address - Fax:743-205-3533
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst