Active NPI
Heather Marie Lambe
- Assistant Behavior Analyst
- Panama City, FL
National Provider Identifier
1053038158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 02617089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110301100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02617089 | FL | MD | Assistant 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.