Morquise A Evans

Key facts

NPI

1457006348

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

9374 Olive Blvd Ste 101
Olivette, MO 63132-3253

Phone

(314) 932-2402

NPI assigned

Feb 18, 2022

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2022.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1457006348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD STE 101",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD STE 101",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323253",
            "telephone_number": "314-932-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MORQUISE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Olivette, MO · Behavior Technician in Missouri