Individual
MARYKATE OHLSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
20 SUMMER ST, ENFIELD, CT 06082-2934
(860) 336-1989
Mailing address
20 SUMMER ST, ENFIELD, CT 06082-2934
(860) 336-1989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2142
CT
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
07/29/2025
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