Marni Page Ellwood, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56414 Issued in CA

Practice address

2141 Palomar Airport Rd Ste 350
Carlsbad, CA 92011-1451

Phone

(760) 438-0078

NPI assigned

Jul 3, 2018

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

State licenses

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1427544311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FIG ST APT 6",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254440",
            "telephone_number": "609-276-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 PALOMAR AIRPORT RD STE 350",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111451",
            "telephone_number": "760-438-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "MARNI",
        "middle_name": "PAGE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-39386",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-56414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kajsa Ellen Ellberg-Frolund
• Emma Ellefson-Frank
• Patricia Lynn Ellingson, D. C.
• Alex Marie Elliott-Kuhlmann
• Mikayla Gabrielle Elliott
• Roxanne Elshamy
• Emerald Dermatology
• Emericare Inc (Emeritus at Carlsbad)
• Grayson Emery
• Kelli Emge

• Behavior Analyst in Carlsbad, CA
• Providers in Carlsbad, 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 5, 2022; 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.