Active NPI
Brooke Ashley Oltsik
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1790308385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001912
- Practice address
- 21045 N 9TH PL Ste 204
Phoenix, AZ 85024-5635 - Phone
- (480) 599-4734
- NPI assigned
- May 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | BEH-001912 | AZ | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
21045 N 9TH PL Ste 204
Phoenix, AZ 85024-5635
Mailing address
25300 N 22ND LN Apt 1110
Phoenix, AZ 85085-8806
Phone (309) 212-0574
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-001912 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1790308385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25300 N 22ND LN APT 1110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858806",
"telephone_number": "309-212-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21045 N 9TH PL STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850245635",
"telephone_number": "480-599-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLTSIK",
"first_name": "BROOKE",
"middle_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001912",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 16, 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.