MEDICARE: AMBRELLA CULLER

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1669331492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBRELLA CULLER

Provider Business Mailing Address
First Line	:	8805 W 14TH AVE STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4850
Country	:	US
Telephone Number	:	720-414-1456
Fax Number	:

Provider Business Practice Location Address
First Line	:	8805 W 14TH AVE STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4850
Country	:	US
Telephone Number	:	720-414-1456
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1346108099 — NICOLE JAE BUSHHOUSE
Practice Location Address:

8805 W 14TH AVE STE 100
LAKEWOOD, CO
80215-4850

Practice Phone: 720-414-1456
Practice Fax:

1952268773 — RUTH ELOISE FAGER
Practice Location Address:

8805 W 14TH AVE STE 100
LAKEWOOD, CO
80215-4850

Practice Phone: 720-414-1456
Practice Fax:

1912143702 — JAEMI T MURPHY LPN
Practice Location Address:

8805 W 14TH AVE STE 320
LAKEWOOD, CO
80215-4850

Practice Phone: 720-413-0234
Practice Fax:

1235420159 — CARINA LANGENBACH OTD, OTR/L
Practice Location Address:

8805 W 14TH AVE STE 320
LAKEWOOD, CO
80215-4850

Practice Phone: 719-213-0603
Practice Fax: 720-316-5962

1952641409 — JACQUE KAY SUMIDA MA, LPC
Practice Location Address:

8745 W 14TH AVE STE 120
LAKEWOOD, CO
80215-4850

Practice Phone: 303-237-1113
Practice Fax:

1902219900 — MCKENNA HENDERSON BCBA
Practice Location Address:

8805 W 14TH AVE STE 100
LAKEWOOD, CO
80215-4850

Practice Phone: 303-989-8169
Practice Fax: 303-984-4366

Directions to “ AMBRELLA CULLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.