Tammy Layne Jayne

Individual provider Active NPI Behavior Technician · Tilton, IL

NPI 1629986161 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1629986161
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
411 Brentwood St
Tilton, IL 61833-7522
Phone
(618) 421-2075
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IL Yes

Addresses

Primary practice location

411 Brentwood St
Tilton, IL 61833-7522

Mailing address

411 Brentwood St
Tilton, IL 61833-7522
Phone (618) 421-2075

Other providers in Tilton, IL

All providers in Tilton, IL · Behavior Technician in Illinois

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.