Healthcare Provider Details

I. General information

NPI: 1225206295
Provider Name (Legal Business Name): HEATHER DALLAS JOSLIN MS, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E BURTON ST
MURFREESBORO TN
37130-3023
US

IV. Provider business mailing address

715 E BURTON ST
MURFREESBORO TN
37130-3023
US

V. Phone/Fax

Practice location:
  • Phone: 931-205-1997
  • Fax:
Mailing address:
  • Phone: 931-205-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number01018
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: