TYRA M JACKSON
NPI 1194669770
Behavior Technician in Fresno, TX
About Tyra M Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRA M JACKSON (NPI 1194669770) is an individual behavior technician in Fresno, Texas and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyra Jackson's NPI number?
The NPI number for Tyra Jackson is 1194669770. It was assigned to this individual provider in the NPPES registry on April 15, 2026.
Where is Tyra Jackson located?
Tyra Jackson practices at 4746 Montclair Hill Ln, Fresno, TX 77545. The listed phone number is (832) 892-3164.
What is Tyra Jackson's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Tyra Jackson was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.