Jennifer Wyatt, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17227 Issued in MS

Practice address

6858 Swinnea Rd
4 Rutland Place
Southaven, MS 38671-9493

Phone

(662) 772-5937

NPI assigned

Jul 10, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1629452461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10569 RHAPSODY CV",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "386806001",
            "telephone_number": "901-496-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD",
            "address_2": "4 RUTLAND PLACE",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-772-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "1-14-17227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Wright
• Patricia Michele Wright, PHD
• Terri Lynn Wright, RN
• Valerie Wright, RBT
• Latanya Wrotten
• Robert Heath Wylie
• Xceptional Health & Wellness, PLLC.
• Fazal Yahya, M.D.
• Xiyuan Yang, MD
• Kevin Francis Yekaitis, FNP-BC

• Behavior Analyst in Southaven, MS
• Providers in Southaven, MS by specialty
• Behavior Analyst in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.