NPI 1376125773 · live from the CMS NPI Registry
Marisa Ahtonen
Behavior Analyst in Columbia, SC. National Provider Identifier 1376125773, active.
NPI record
| NPI | 1376125773 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1370 Browning Rd Ste 100, Columbia, SC 29210 |
| Practice phone | 839-213-4505 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441 |
| Enumerated | April 25, 2021 |
| Last updated | July 31, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-24-73250 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.