Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Ambrose

Individual provider Behavior Technician · NPI 1720867286

Jeffrey Ambrose is a Behavior Technician in South Bend, Indiana. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone: (574) 289-4831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720867286
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address2505 E Jefferson Blvd, South Bend, IN 46615-2635

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