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Individual

JANE GOODMAN TAMMIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2141 E PECOS RD, CHANDLER, AZ 85225-6077
(480) 846-0607
(480) 841-6696
Mailing address
2141 E PECOS RD, CHANDLER, AZ 85225-6077
(480) 846-0607
(480) 841-6696

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-24226
IL
103K00000X
Behavior Analyst
Primary
BEH-001001
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151630
AZ
Enumeration date
12/28/2016
Last updated
06/11/2025
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