Individual provider · Type 1 NPI

Lacey Kristine Jackson

Behavior Analyst · Tyler, TX

NPI number 1639794746 Active

Practice location

1537 E Grande Blvd
Tyler, TX 75703-3900

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	3591 (TX)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1639794746

Lacey Kristine Jackson's National Provider Identifier is 1639794746, issued on Jun 15, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Tyler, TX. The record was last updated on Oct 8, 2025.