Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Rene Wyatt, MS, BCBA, LBA

Individual provider Behavior Analyst · NPI 1720697642

Jennifer Rene Wyatt, MS, BCBA, LBA is a Behavior Analyst in Johnson City, Tennessee. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

321 W Walnut St
Johnson City, TN 37604-6774
Phone: (423) 202-3622
Fax: (423) 631-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-42266 (CO)

Record details

NPI number1720697642
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BCBA , LBA
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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