Individual
MARISA AHTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 BROWNING RD STE 100, COLUMBIA, SC 29210-6939
(839) 213-4505
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(615) 247-5487
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73250
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/25/2021
Last updated
07/31/2026
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