Gina Marie Ambrose
Individual provider Active NPI Behavior Technician · Ogden, UT
NPI 1639094352 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1639094352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 349 12TH St
Ogden, UT 84404-5712 - Phone
- (801) 335-9382
- NPI assigned
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
349 12TH St
Ogden, UT 84404-5712
Mailing address
349 12TH St
Ogden, UT 84404-5712
Phone (801) 335-9382
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.