Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY LYNN JACKSON
ActiveTRACY LYNN JACKSON is a Behavior Technician healthcare provider located in IDABEL, Oklahoma. NPI 1639611486 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · IDABEL, OK
Registration Details
- NPI Number
- 1639611486
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2016 (9.7830923428686 yrs)
- Last Updated
- Nov 10, 2016
- License
-
261QM0801X (OK)
Practice Information
- Address
-
412 S CENTRAL AVEIDABEL, OK, 747456060Browse OK providers · Browse ZIP 74745
- Phone
- 5802866671
- Fax
- 5802865747
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in IDABEL, OK
| Name | Credential | NPI |
|---|---|---|
| LETICIA GONZALEZ | — | 1427816743 |
| PAUL HARTLEY | — | 1275392193 |
| LISA HARDAWAY | — | 1134974207 |
| MARGO MCATEE | — | 1972316792 |
| TARELL ALEXANDER | — | 1871473488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.