Mid-South Education and Behavior Solutions, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MID-SOUTH EDUCATION AND BEHAVIOR SOLUTIONS, LLC

Practice address

1028 Cresthaven Rd Ste 200
Memphis, TN 38119-3867

Phone

(901) 387-9461

NPI assigned

Feb 27, 2024

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marrissa Harris, BCBANPI 1265163265

Title

Owner

Phone

(901) 387-9461

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marrissa Harris, ED.D

  • Behavior Analyst
  • Memphis, TN
  • NPI 1265163265
  NPD Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1285490102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CRESTHAVEN RD STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193867",
            "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": [],
    "basic": {
        "organization_name": "MID-SOUTH EDUCATION AND BEHAVIOR SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARRISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-387-9461",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid South Supportive Living, LLC
• Mid South Vascular Clinic
• Mid-South ABA Therapy
• Mid-South Area Residential Services
• Mid-South Cardiovascular Center, LLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Gastroenterology Group, Inc.
• Mid-South Geriatrics & Palliative Care PLLC
• Mid-South Health Services, LLC (Ashton Place Health & Rehab Center)

• 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 Feb 27, 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.