Individual provider Active NPI

Jane Goodman Tammik, BCBA

  • Behavior Analyst
  • Chandler, AZ
National Provider Identifier
1053856161
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001001 Issued in AZ
Practice address
2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone
(480) 846-0607
Fax
(480) 841-6696
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-24226 IL
Behavior Analyst 103K00000X BEH-001001 AZ Primary

Addresses

Primary practice location

2141 E Pecos Rd
Chandler, AZ 85225-6077

Mailing address

2141 E Pecos Rd
Chandler, AZ 85225-6077
Phone (480) 846-0607

Other practice location 1

2121 E Pecos Rd Ste 2&3
Chandler, AZ 85225-6075
Phone (480) 846-0607

Other identifiers 1

IdentifierTypeStateIssuer
151630MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BEH-001001AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomkidz Inc. Behavior Analyst CurrentSince Jun 1, 2022 Accepting new patients
Bloomkidz Inc. Behavior Analyst PastSince Jul 21, 2024 Accepting new patients
Total Spectrum, LLC Behavior Analyst Past Accepting new patients

Locations

2121 E Pecos Rd
Ste 23
Chandler, AZ 85225
Phone (480) 846-0607

2141 E Pecos Rd
Chandler, AZ 85225
Phone (480) 846-0607

2141 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1053856161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E PECOS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256077",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Pecos Rd Ste 2&3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256075",
            "country_code": "US",
            "telephone_number": "480-846-0607",
            "fax_number": "480-841-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMMIK",
        "first_name": "JANE",
        "middle_name": "GOODMAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-16-24226",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151630",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.