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

Katelyn Alexis Ambrose

Individual provider Behavior Technician · NPI 1194564310

Katelyn Alexis Ambrose is a Behavior Technician in South Portland, Maine. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

50 Donald B Dean Dr
South Portland, ME 04106-3373
Phone: (207) 274-2528
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence SA5610090 (MA)

Record details

NPI number1194564310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address50 Donald B Dean Dr, South Portland, ME 04106-3373

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