IndividualActive
Mariko Fairly, BCBA
NPI 1346592185 · Behavior Analyst · Culver City, CA
Mariko Fairly, BCBA is a Behavior Analyst provider in Culver City, CA (NPI 1346592185).
Provider details
- NPI number
- 1346592185
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-10-7078
Practice location
6167 Bristol Pkwy
Suite 130
Culver City, CA 90230
Phone: (310) 410-4450
Street-level locationGet directions
Mailing address
6167 Bristol Pkwy
Culver City, CA 90230-6610
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2018-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.