Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa L Moultrie

Individual provider Behavior Technician · NPI 1831899194

Marisa L Moultrie is a Behavior Technician in Columbus, Ohio. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4664 Larwell Dr
Columbus, OH 43220-3621
Phone: (614) 487-7805
Fax: (614) 487-7809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1831899194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 4, 2023
Mailing address2186 E Main Street B304, Columbus, OH 43209

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