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

Tracy Lynn Jackson

Individual provider Behavior Technician · NPI 1639611486

Tracy Lynn Jackson is a Behavior Technician in Idabel, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016

Practice location Address checks out

412 S Central Ave
Idabel, OK 74745-6060
Phone: (580) 286-6671
Fax: (580) 286-5747
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 261QM0801X (OK)

Record details

NPI number1639611486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2016
Last updated in NPPESNovember 10, 2016
Mailing address412 S Central Ave, Idabel, OK 74745-6060

Other providers in Idabel