Individual provider Active NPI

Jamilla Disu

  • Behavior Analyst
  • Gallatin, TN
National Provider Identifier
1215671607
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1973 Issued in TN
Practice address
1526 Hunt Club Blvd Unit 550
Gallatin, TN 37066-6194
Phone
(615) 426-0012
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1973 TN Primary

Addresses

Primary practice location

1526 Hunt Club Blvd Unit 550
Gallatin, TN 37066-6194

Mailing address

1526 Hunt Club Blvd Unit 550
Gallatin, TN 37066-6194
Phone (615) 426-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1973TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1215671607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 HUNT CLUB BLVD UNIT 550",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666194",
            "telephone_number": "615-426-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 HUNT CLUB BLVD UNIT 550",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666194",
            "telephone_number": "615-426-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISU",
        "first_name": "JAMILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.