NPI 1194564310

Katelyn Alexis Ambrose

Practitioner Behavior Technician South Portland, ME

Practice location

Address: 50 Donald B Dean Dr, South Portland, ME 04106-3373
Phone: (207) 274-2528

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence SA5610090 (MA)

Other Behavior Technician providers in Maine →

Registry record

NPI: 1194564310
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2024
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.