Lisa Keller

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

400 Tenafly Rd
Tenafly, NJ 07670-7000

Phone

(201) 777-4557

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1063113561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 PINE LAKE DR",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764821",
            "telephone_number": "201-280-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TENAFLY RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076707000",
            "telephone_number": "201-777-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kento Kamiyama, P.T., D.P.T
• Karishma Kancherla, M.D.
• Elena Kardonsky, LCSW
• Rena Melanie Katsev
• Mera Marie Keh, PMHNP-BC
• Anna B Kelly, MD
• Meaghan E. Kelly, M.ED., BCBA, LBA
• KG Bahavior Modification LLC. (Kielin Greeley & Associates)
• Claire M Kim
• Eun-Joo Kim, MD

• Behavior Analyst in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.