Individual
MS. CELESTE MARIE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5352 LAUREL CANYON BLVD STE 100, NORTH HOLLYWOOD, CA 91607-4923
(747) 254-1154
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60920
CA
106S00000X
Behavior Technician
BCAT-1260
CA
106S00000X
Behavior Technician
RBT-16-17207
CA
Other
Enumeration date
02/27/2018
Last updated
11/04/2022
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