Active NPI
Marisa Ahtonen
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1376125773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73250
- Practice address
- 1370 Browning Rd Ste 100
Columbia, SC 29210-6939 - Phone
- (839) 213-4505
- NPI assigned
- Apr 25, 2021
- Last updated
- Jul 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-73250 | NU | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
1370 Browning Rd Ste 100
Columbia, SC 29210-6939
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (615) 247-5487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mighty Kidz Services LLC. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1376125773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411834",
"telephone_number": "615-247-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BROWNING RD STE 100",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292106939",
"telephone_number": "839-213-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHTONEN",
"first_name": "MARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-24-73250",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.