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

Mr. Marshall Gavin Chisholm, BA, RBAI

Individual provider Behavior Technician · NPI 1699456079

Mr. Marshall Gavin Chisholm, BA, RBAI is a Behavior Technician in Encino, California. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

5435 Balboa Blvd Ste 202
Encino, CA 91316-1570
Phone: (310) 933-4499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABA-IN-10234166 (OR)

Record details

NPI number1699456079
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , RBAI
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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