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JENNIFER RENE WYATT M.S., BCBA, LBA
NPI 1720697642
Behavior Analyst in Johnson City, TN

Active since July 27, 2020
321 W WALNUT ST, JOHNSON CITY, TN 37604(423) 202-3622(423) 631-0019 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 2, 2025, Apr 21, 2021, Mar 17, 2021 and 4 more (7 updates tracked since 2020).

About Jennifer Rene Wyatt M.s., Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER RENE WYATT M.S., BCBA, LBA (NPI 1720697642) is an individual behavior analyst provider in Johnson City, Tennessee, licensed in Colorado (1-20-42266) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1720697642
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJENNIFER RENE WYATTCredential: M.S., BCBA, LBA
Location Address321 W WALNUT STJohnson City, TN 37604-6774
Mailing Address321 W Walnut St, Box 2Johnson City, TN 37604-6774 · (423) 202-3622 · Fax (423) 631-0019
Phone(423) 202-3622
Fax(423) 631-0019
Sole ProprietorNo
Enumeration DateJuly 27, 2020
Last NPPES UpdateSeptember 2, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1720697642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CO · 1-20-42266
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
321 W WALNUT ST, Johnson City, TN 37604
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Other Names 1

Former Name (1)Jennifer Rene Muncy M.s., Bcba, Lba

Other Identifiers 3

OtherLBA0000000647TN · Licensed Behavior Analyst
Other0133001934VA · Licensed Behavior Analyst
MedicaidQ060405TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA SIMMONS
Behavior Technician
321 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 202-3622
LILLIAN MILLER
Behavior Technician
321 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 202-3622
RACHEL FORLOW
Behavior Analyst
321 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 202-3622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wyatt's NPI number?

The NPI number for Jennifer Wyatt is 1720697642. It was assigned to this individual provider in the NPPES registry on July 27, 2020. The provider is also known as Jennifer Rene Muncy M.S., Bcba, Lba.

Where is Jennifer Wyatt located?

Jennifer Wyatt practices at 321 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 202-3622.

What is Jennifer Wyatt's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wyatt was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.