MARISSA EVANS (NPI# 1750906822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750906822 |
| Entity Type | Individual |
| Full Name | MARISSA EVANS |
| Practice Address |
1360 Caduceus Way Building 600-suite 101 Watkinsville GA 30677 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100580 |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367324 | Marissa Evans | Peer Specialist | 9201 Montgomery Blvd Ne Bldg 5, Albuquerque, NM 87111-2468 | 2020-02-06 |
| 1386143188 | Marissa Sarah Evans | Behavior Technician | 35 Walpole St, Stafford, VA 22554-6546 | 2018-02-07 |
| Street Address |
1360 CADUCEUS WAY BUILDING 600-SUITE 101 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358366 | Kenneth Bradley Hall | Dentist | 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 | 2006-06-02 |
| 1275134785 | Ivey Reeves Tenny | Behavioral Analyst | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-11-03 |
| 1649887639 | Danymarie Baldon Consolacion | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-09-24 |
| 1962033100 | Savannah Baine | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-01-27 |
| 1679945596 | Athens Cardiac Clinic PC | Internal Medicine | 1360 Caduceus Way, Building 600 Suite 105, Watkinsville, GA 30677-7300 | 2015-10-30 |
| 1013384031 | Aoa Hearing Aids | Audiologist | 1360 Caduceus Way, Building 200, Suite 101, Watkinsville, GA 30677-7300 | 2015-08-25 |
| 1518354018 | Women's Imaging Specialists - Athens, LLC | Clinic/Center | 1360 Caduceus Way, Building 400: Suite 101, Watkinsville, GA 30677-7300 | 2015-04-22 |
| 1356732804 | Athens Digestive Endoscopy Center | Clinic/Center | 1360 Caduceus Way, Building 300, Watkinsville, GA 30677-7300 | 2015-02-05 |
| 1538586516 | Yuca, LLC | Pharmacy | 1360 Caduceus Way, Bldg 400 Suite 105, Watkinsville, GA 30677 | 2014-03-27 |
| 1073891198 | Julio Ernesto Pena | Internal Medicine | 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677-7300 | 2011-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1649887639 | Danymarie Baldon Consolacion | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-09-24 |
| 1447864723 | Anna Holland | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-09-03 |
| 1457960221 | Katherine Grace Boswell | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-07-28 |
| 1326657313 | Cathi Palmer | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-07-27 |
| 1518576446 | Andreina Gomez | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-07-27 |
| 1174141444 | Abigail Curry | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-07-13 |
| 1912522871 | Zachary John King | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-06-16 |
| 1740805969 | Hope Tavani | Behavior Technician | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2020-06-12 |
| 1962033100 | Savannah Baine | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-01-27 |
| Find all providers in WATKINSVILLE | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.