Katelyn A Ambrose
Behavior Technician in South Portland, Maine
1194564310- Practice location
- 50 Donald B Dean Dr, South Portland, ME 04106-3373
- Phone
- 207-274-2528
- Fax
- —
- Last updated
- May 20, 2024
Katelyn Alexis Ambrose is a Behavior Technician based in South Portland, ME. Katelyn Alexis Ambrose practices in South Portland, ME. The NPI Number for Katelyn Alexis Ambrose is 1194564310 and holds a License No. SA5610090 (MA). The current practice location address for Katelyn Alexis Ambrose is 50 Donald B Dean Dr, South Portland, ME 04106-3373 and can be reached out via phone at 207-274-2528.
Provider Profile Details
- NPI Number
- 1194564310
- Provider Name
- Katelyn Alexis Ambrose
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Donald B Dean Dr, South Portland, ME 04106-3373
- Phone Number
- 207-274-2528
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 20, 2024
- Last Update Date
- May 20, 2024
- Certification Date
- May 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Donald B Dean Dr
South Portland, ME 04106-3373 - City
- South Portland
- State
- Maine
- Zip
- 04106-3373
- Phone Number
- 207-274-2528
Provider Business Mailing Address Details
- Address
- 50 Donald B Dean Dr
South Portland, ME 04106-3373 - City
- South Portland
- State
- ME
- Zip
- 04106-3373
- Phone Number
- 207-274-2528
License Information
- License Number
- SA5610090
- License State
- MA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katelyn A Ambrose?
The NPI number of Katelyn A Ambrose is 1194564310. It was assigned on May 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Katelyn A Ambrose?
Katelyn A Ambrose is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number SA5610090.
Where does Katelyn A Ambrose practice?
The practice location is 50 Donald B Dean Dr, South Portland, ME 04106-3373. The office can be reached at 207-274-2528 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194564310 directly on the NPPES registry website.