Wellformed AI

NPI 1265277206 · live from the CMS NPI Registry

Mansell Ambrose

Behavior Analyst in Nashville, TN. National Provider Identifier 1265277206, active.

NPI record

NPI1265277206 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1906 Glen Echo Rd Unit 158404, Nashville, TN 37215
Practice phone917-496-2732
EnumeratedJuly 1, 2024
Last updatedJuly 1, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1338 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.