NPI 1730696675 · live from the CMS NPI Registry
Elisa Ambriz, M.E., LBA, BCBA
Behavior Analyst in Olympia, WA. National Provider Identifier 1730696675, active.
NPI record
| NPI | 1730696675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506 |
| Practice phone | 360-456-2237 |
| Mailing address | 3443 Lilly Rd Ne, Olympia, WA 98506 |
| Enumerated | December 31, 2017 |
| Last updated | February 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | BA61014131 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.