Provider Type Icon

GINA MARIE AMBROGIO LLMSW BCABA NPI 1609225275


NPI Information

NPI: 1609225275
Provider Name: GINA MARIE AMBROGIO, LLMSW, BCABA
Classification: Assistant Behavior Analyst - 106E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201
Phone: (313) 831-5535
Get Directions

Gina Marie Ambrogio, LLMSW, BCABA is an assistant behavior analyst in Detroit, MI. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. Gina Marie Ambrogio, LLMSW, BCABA NPI is 1609225275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

79 W ALEXANDRINE ST
DETROIT, MI
ZIP 48201-015
Phone: (313) 831-5535
Fax: (313) 831-2608

The NPI 1609225275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/6/2016 and was last updated on 8/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106E00000XAssistant Behavior Analyst0-16-7335MICHIGANYes
21041C0700XSocial WorkerClinical6801099118MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.