Jennifer L Mullins, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2201 Issued in TN

Practice address

404 S Roan St
Johnson City, TN 37601-5728

Phone

(423) 922-5770

NPI assigned

Dec 9, 2016

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1609310648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015728",
            "telephone_number": "423-922-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015728",
            "telephone_number": "423-922-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "2201",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133003490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Moxley, RN
• Benjamin Thomas Moyer, DO
• Catherine Moyer, DPT
• Randy C Moze, D.C.
• Hailey Mullane
• Jesse Mullins
• John Harrison Mullins III, FNP
• Nathanael Lewis Mullins
• Paige R Mullins, PMHNP-BC
• Sara L Mullins, FNP

• Behavior Analyst in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.