NPI 1649754433 · live from the CMS NPI Registry
Lauren M Ambrose, ABA
Behavior Analyst in Countryside, IL. National Provider Identifier 1649754433, active.
NPI record
| NPI | 1649754433 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 9649 W 55th St, Countryside, IL 60525 |
| Practice phone | 708-352-3580 |
| Enumerated | September 18, 2018 |
| Last updated | September 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.