IndividualActive
Marisa Kealoha
NPI 1962974246 · Behavior Technician · Elk Grove, CA
Marisa Kealoha is a Behavior Technician provider in Elk Grove, CA (NPI 1962974246).
Provider details
- NPI number
- 1962974246
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 19-77922 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone: (916) 683-1109
Fax: (916) 683-1140
Street-level locationGet directions
Mailing address
Po Box 5157
Modesto, CA 95352-5157
Registry dates
- Enumerated
- 2018-12-26
- Last updated
- 2019-03-04
Frequently asked questions
- What is Marisa Kealoha's NPI number?
- Marisa Kealoha's National Provider Identifier (NPI) is 1962974246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Kealoha's specialty?
- Marisa Kealoha is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Marisa Kealoha located?
- Marisa Kealoha's practice location on file with NPPES is 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476.
- What is Marisa Kealoha's phone number?
- The practice phone number listed in the NPPES registry for Marisa Kealoha is (916) 683-1109.
- Is Marisa Kealoha's NPI active?
- Yes — Marisa Kealoha's NPI (1962974246) is active in the NPPES registry as of the last update on 2019-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.