Active NPI
Luis Angel Ambriz
- Behavior Technician
- Monument, CO
National Provider Identifier
1356228258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1215548425
- Practice address
- 17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304 - Phone
- (719) 488-3348
- NPI assigned
- Aug 20, 2025
- Last updated
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1215548425 | CO | Primary |
Addresses
Primary practice location
17230 Jackson Creek Pkwy Ste 220
Monument, CO 80132-7304
Mailing address
6977 Peyote Way
Colorado Springs, CO 80919-3073
Phone (575) 642-3842
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 |
|---|---|---|---|
| 1215548425 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1356228258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6977 PEYOTE WAY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193073",
"telephone_number": "575-642-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17230 JACKSON CREEK PKWY STE 220",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327304",
"telephone_number": "719-488-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBRIZ",
"first_name": "LUIS",
"middle_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "1215548425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
- Rebecca Lee Albright, MSW, LCSW
- John Michael Aldridge, PHARM D.
- Allan Douglas Nanney III MD LLC
- Seth Allen, DC
- Kurt Daniel Alsum, FNP
- America's Best Contacts & Eyeglasses
- Nannette Florin Amodeo, MA, LPC
- Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
- Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
- Amy Shandy, Speech-Language Pathologist, LLC (The Shandy Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.