Jenny C Martin, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1531 Hunt Club Blvd Ste 306
Gallatin, TN 37066-6098

Phone

(615) 502-2652

Fax

(217) 670-1860

NPI assigned

May 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1164656393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 HUNT CLUB BLVD STE 306",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666098",
            "telephone_number": "615-502-2652",
            "fax_number": "217-670-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 HUNT CLUB BLVD STE 306",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666098",
            "telephone_number": "615-502-2652",
            "fax_number": "217-670-1860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "872 Willow Tree Cir",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380188845",
            "country_code": "US",
            "telephone_number": "901-244-2221 x20040",
            "fax_number": "217-670-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "LBA0000000212",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Paul Marshall, PHARM.D.
• Lakesha Waynette Marshall, RN
• Paula Michele Marshall, FNP-C, CWON
• Andrea L. Martin-Willie, PA-C
• Beth Martin, SLP-CCC
• Savanna Layne Martin, RN
• Kimberly An Martindale, M.A.
• Pedro Martinez, MA
• Dana Mason
• Megan Elizabeth Mason, M.D.

• Behavior Analyst in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.