Individual
BROOKE ASHLEY OLTSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(480) 599-4734
Mailing address
25300 N 22ND LN APT 1110, PHOENIX, AZ 85085-8806
(309) 212-0574
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001912
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2020
Last updated
06/16/2025
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