Marrissa Harris, ED.D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1168 Issued in TN

Practice address

1028 Cresthaven Rd Ste 200
Memphis, TN 38119-3867

Phone

(901) 387-9461

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mid-South Education and Behavior Solutions, LLC

  • Behavior Analyst
  • Memphis, TN
  • NPI 1285490102
  NPD Authorized official
• Mississippi Behavior Services

  • Behavior Analyst
  • Southaven, MS
  • NPI 1134501364
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1265163265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 CASENTINO ST",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186920",
            "telephone_number": "901-387-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 CRESTHAVEN RD STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193867",
            "telephone_number": "901-387-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5847 Getwell Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386726816",
            "country_code": "US",
            "telephone_number": "662-470-6160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARRISSA",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "220025",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Lashawn Harris, BACHELOR OF SCIENCE
• Kimberly Elizabeth Harris, PT, DPT, ATC/L
• Linda B Harris, MSSW
• Mark Harris, M.D.
• Marquita S. Harris
• Mekel S Harris, M.A.
• Michael Darnell Harris Jr.
• Paul Alan Harris, O.D.
• Phylicia Harris
• Phyllis Kay Harris, B.S.

• Behavior Analyst in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.