Marilyn Nicole Artinian, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51126 Issued in CA

Practice address

3079 Harrison Ave Ste 26
South Lake Tahoe, CA 96150-7978

Phone

(513) 295-6448

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Place 4 ABA Inc

  • Behavior Technician
  • South Lake Tahoe, CA
  • NPI 1912621780

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1063063931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE 26",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507978",
            "telephone_number": "513-295-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE 26",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507978",
            "telephone_number": "513-295-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTINIAN",
        "first_name": "MARILYN",
        "middle_name": "NICOLE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-51126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynne Appelblatt, D.D.S., M.D.
• Michelle Appelle, MSPT
• Heather Applegate, PTA
• Pamela Armstrong
• Sierra C Armstrong, FNP
• Heather Nicole Avila
• Alexandra Babayan
• B. Patrick Baghdikian
• Edwina Bailey, RADT
• Alexzandria Balme

• Behavior Analyst in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.