Marisa Evans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

20700 Civic Center Dr Ste 110
Southfield, MI 48076-4102

Phone

(800) 385-1035

NPI assigned

Jul 28, 2026

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jul 28, 2026.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1104748318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764102",
            "telephone_number": "800-385-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 CIVIC CENTER DR STE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764102",
            "telephone_number": "800-385-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Evans II
• Juanita Evans, MD
• Kameron Evans
• Kayla Marie Evans
• Kenisha Jean Evans, MD
• Marjorie Evans
• Mary Yvonne Evans, MSW,LMSW
• Rachael Evans, LLP
• Ronda Yvonne Evans, LLPC
• Yvonne Renee Evans, R.N.

• All providers in Southfield, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.