Active NPI
Julie Ann Tyma
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1437666997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000560
- Practice address
- 300 N 18TH St
Phoenix, AZ 85006-4103 - Phone
- (602) 340-8717
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-18528 | AZ | |
| Behavior Analyst | 103K00000X | BEH-000560 | AZ | Primary |
Addresses
Primary practice location
300 N 18TH St
Phoenix, AZ 85006-4103
Mailing address
300 N 18TH St
Phoenix, AZ 85006-4103
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
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000560 | AZ | MD | Behavioral Analyst |
| RBT-16-18528 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1437666997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 18TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064103",
"telephone_number": "602-340-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMA",
"first_name": "JULIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-16-18528",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.