Jeanne Marie Ambrose, BCBA

Individual provider Active NPI Behavior Analyst · Vancouver, WA

NPI 1982012142 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1982012142
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
BA70018668 (WA)
Practice address
6409 E Mill Plain Blvd
Vancouver, WA 98661-7454
Phone
(360) 718-8376
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BA70018668WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Behavior Services LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA70018668 WA Yes

Addresses

Primary practice location

6409 E Mill Plain Blvd
Vancouver, WA 98661-7454

Mailing address

6409 E Mill Plain Blvd
Vancouver, WA 98661-7454

Other providers in Vancouver, WA

All providers in Vancouver, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.