Individual provider Active NPI

Tamry L Juntunen, TAMRY JUNTUNEN

  • Behavior Analyst
  • Oak Park, IL
National Provider Identifier
1689816738
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
212 S Marion St
Suite 11
Oak Park, IL 60302-3159
Phone
(708) 358-3000
Fax
(708) 524-0300
NPI assigned
Apr 2, 2009
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

212 S Marion St
Suite 11
Oak Park, IL 60302-3159

Mailing address

19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345

Other names 1

  • Tamry L Juntunen Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1689816738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563253",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MARION ST",
            "address_2": "SUITE 11",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023159",
            "telephone_number": "708-358-3000",
            "fax_number": "708-524-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTUNEN",
        "first_name": "TAMRY",
        "middle_name": "L",
        "credential": "TAMRY JUNTUNEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRY",
            "last_name": "JUNTUNEN",
            "middle_name": "L",
            "credential": "TAMRY JUNTUNEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.