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

Tyra M Jackson

Individual provider Behavior Technician · NPI 1194669770

Tyra M Jackson is a Behavior Technician in Fresno, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

4746 Montclair Hill Ln
Fresno, TX 77545-2046
Phone: (832) 892-3164
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (TX)

Record details

NPI number1194669770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address4746 Montclair Hill Ln, Fresno, TX 77545-2046

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