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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER WYATT, BCBA

Active Sole Proprietor

Behavior Analyst · SOUTHAVEN, MS

Registration Details

NPI Number
1629452461
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2015 (10.78293735868 yrs)
Last Updated
Jul 10, 2015
License
1-14-17227 (MS)
Sole Proprietor
Yes

Practice Information

Address
6858 SWINNEA RD
4 RUTLAND PLACE
SOUTHAVEN, MS, 386719493
Browse MS providers · Browse ZIP 38671
Phone
6627725937
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in SOUTHAVEN, MS

Name Credential NPI
MRS. DEMETRIC L POKE M.A. 1972830875
MRS. CASSANDRA RENAE WILLIAMS-SISK M.ED. 1336471291
JESSICA BRITTAIN COLEMAN M.A. 1528351087
BRANDEE LYNN MASTERSON 1962751933
MRS. MARY MARGARET LITTLE 1558765271
DEADRA DENNIS 1356713606
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.