Individual
JENNIFER L MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
404 S ROAN ST, JOHNSON CITY, TN 37601-5728
(423) 922-5770
Mailing address
404 S ROAN ST, JOHNSON CITY, TN 37601-5728
(423) 922-5770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133003490
VA
103K00000X
Behavior Analyst
Primary
2201
TN
Other
Enumeration date
12/09/2016
Last updated
07/16/2026
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