Brooke Ashley Oltsik
Behavior Analyst in Phoenix, AZ. Individual provider (NPI-1).
NPI number1790308385
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1790308385
- Entity type
- Individual (NPI-1)
- Name
- Brooke Ashley Oltsik
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2020
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | BEH-001912 | AZ | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
21045 N 9th Pl Ste 204Phoenix, AZ 85024-5635
Phone 480-599-4734
Mailing address
25300 N 22nd Ln Apt 1110Phoenix, AZ 85085-8806
Phone 309-212-0574
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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