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

Lacey Kristine Jackson

Individual provider Behavior Analyst · NPI 1639794746

Lacey Kristine Jackson is a Behavior Analyst in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

1537 E Grande Blvd
Tyler, TX 75703-3900
Phone: (903) 630-7077
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 3591 (TX)

Record details

NPI number1639794746
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1537 E Grande Blvd, Tyler, TX 75703-3900

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