Marisa K Hogan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47219 Issued in MI

Practice address

1000 E Paris Ave SE Ste 160
Grand Rapids, MI 49546-8313

Phone

(586) 295-7040

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Marisa K Corona Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1093256257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 CENTER AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056273",
            "telephone_number": "586-295-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 160",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468313",
            "telephone_number": "586-295-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MARISA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-21-47219",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "CORONA",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jane Elizabeth Hofstra
• Katie Hofstra
• Grace Claire Hogan, CF-SLP
• Jessica Marie Hogan, BA, QIDP
• Joanne Hogan, PA-C
• Melissa Grace Hogan, PA
• Russell E Hogan, PHD
• Shelby Hogan, LMSW
• Vincent Hogan, PA-C
• Vanessa Paige Hogarth, LMSW

• Behavior Analyst in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.