Wellformed AI

NPI 1982012142 · live from the CMS NPI Registry

Jeanne Marie Ambrose, BCBA

Behavior Analyst in Vancouver, WA. National Provider Identifier 1982012142, active.

NPI record

NPI1982012142 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location6409 E Mill Plain Blvd, Vancouver, WA 98661
Practice phone360-718-8376
EnumeratedJuly 31, 2014
Last updatedJanuary 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000XBA70018668 (WA)

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