Individual provider Active NPI

Heather Marie Lambe

  • Assistant Behavior Analyst
  • Panama City, FL
National Provider Identifier
1053038158
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
02617089 Issued in FL
Practice address
2404 Ruth Hentz Ave
Panama City, FL 32405-2258
Phone
(850) 628-1713
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 02617089 FL Primary

Addresses

Primary practice location

2404 Ruth Hentz Ave
Panama City, FL 32405-2258

Mailing address

718 E Pine Forest Dr
Lynn Haven, FL 32444-4322
Phone (850) 227-4088

Other identifiers 1

IdentifierTypeStateIssuer
110301100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.gulfcoastautismclinic.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02617089FLMDAssistant Behavior Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1053038158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E PINE FOREST DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444322",
            "telephone_number": "850-227-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 RUTH HENTZ AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052258",
            "telephone_number": "850-628-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02617089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110301100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.gulfcoastautismclinic.com/",
            "affiliation": "N",
            "address_1": "2404 Ruth Hentz Ave",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324052258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.