Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lynnette Lack

Individual provider Behavior Technician · NPI 1285418087

Jennifer Lynnette Lack is a Behavior Technician in Kennett, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1226 Independence Ave
Kennett, MO 63857-1316
Phone: (573) 559-2380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1285418087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address1226 Independence Ave, Kennett, MO 63857-1316

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