Individual provider · Type 1 NPI

Jennifer Rene Wyatt, M.S., BCBA, LBA

Behavior Analyst · Johnson City, TN

NPI number 1720697642 Active

Practice location

321 W Walnut St
Johnson City, TN 37604-6774

Call (423) 202-3622 Map

Fax (423) 631-0019

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-20-42266 (CO)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1720697642

Jennifer Rene Wyatt, M.S., BCBA, LBA's National Provider Identifier is 1720697642, issued on Jul 27, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 2, 2025.