Ambriz, Elisa
Ambriz, Elisa is an individual health care provider with primary practice located at 3443 Lilly Rd Ne Ste B , Olympia WA 98506-3091. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Ambriz, Elisa can be contacted via phone (360) 456-2237.Contact Information
Primary practice address
3443 Lilly Rd Ne Ste B
Olympia WA 98506-3091
Phone: (360) 456-2237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BA61014131 | Washington |
Profile Details
| NPI number | 1730696675 |
|---|---|
| LBN Legal business name | Ambriz, Elisa |
| Credentials | M.E., LBA, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2017 |
| Last updated | Feb 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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