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

Kevin Lewis Jackson

Individual provider Behavior Technician · NPI 1396692034

Kevin Lewis Jackson is a Behavior Technician in Bryant, Arkansas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026

Practice location Address checks out

6910 Highway 5 N
Bryant, AR 72022-7901
Phone: (501) 585-7580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AR)

Record details

NPI number1396692034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address1000 Swn Dr Ste 101, Conway, AR 72032-2558

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