Marissa Keller

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

505 Langford Rd
Waverly, TN 37185-2217

Phone

(661) 717-5427

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By 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

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1932005915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LANGFORD RD",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852217",
            "telephone_number": "661-717-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LANGFORD RD",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852217",
            "telephone_number": "661-717-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Richard Jackson Jr., MD
• James Developmental Center Inc.
• Christian Jones, LMMP
• Joseph B Tarpy (Quality Medical Supplies)
• Bonnie Sue Judd, APN
• Keystone Continuum, LLC (Natchez Trace Youth Academy)
• Anthony Glenn Kimbro, LPC PRE-LICENSE
• King Family Medical PLLC
• Christie Madge King-Patterson, NP-C
• James H King, O.D.

• Assistant Behavior Analyst in Waverly, TN
• Providers in Waverly, TN by specialty
• Assistant Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.