Mariko Okano Fairly, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7078

Practice address

6167 Bristol Pkwy
Suite 130
Culver City, CA 90230

Phone

(310) 410-4450

NPI assigned

Oct 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mariko Holmes Okano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lovaas Institute for Early Intervention

  • Behavior Analyst
  • Culver City, CA
  • NPI 1003975236
  NPD (past)
• Lovaas Institute for Early Intervention

  • Behavior Analyst
  • Culver City, CA
  • NPI 1881990224
  NPD (past)

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1346592185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY",
            "address_2": "SUITE 130",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306610",
            "telephone_number": "310-410-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY",
            "address_2": "SUITE 130",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-410-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLY",
        "first_name": "MARIKO",
        "middle_name": "OKANO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-7078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIKO",
            "last_name": "OKANO",
            "middle_name": "HOLMES",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chinenye Shantel Ezeogba
• Isabel Veronica Nabong Fagsao
• Heidi Michele Fahringer, OD
• Gina Erin Faigen
• Rashauna Fair
• Faith and Relationships Marriage & Family Therapy Corp.
• Kathryn Faith
• Anna Estela V Falcon, RN
• Robert Faltisco
• Nicole Fanelli, NP

• Behavior Analyst in Culver City, CA
• Providers in Culver City, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.