MEDICARE: JESSICA MICHELE LAMBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1558229435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MICHELE LAMBERT

Provider Business Mailing Address
First Line	:	414 W BAKERVIEW RD STE 101
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8180
Country	:	US
Telephone Number	:	360-738-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 W BAKERVIEW RD STE 101
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8180
Country	:	US
Telephone Number	:	360-738-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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