TRACY LYNN JACKSON
NPI 1639611486
Behavior Technician in Idabel, OK

Active since November 10, 2016
412 S CENTRAL AVE, IDABEL, OK 74745(580) 286-6671(580) 286-5747 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Lynn Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LYNN JACKSON (NPI 1639611486) is an individual behavior technician in Idabel, Oklahoma, licensed in Oklahoma (261QM0801X) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1639611486
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameTRACY LYNN JACKSON
Location Address412 S CENTRAL AVEIdabel, OK 74745-6060
Mailing Address412 S Central AveIdabel, OK 74745-6060 · (580) 286-6671 · Fax (580) 286-5747
Fax(580) 286-5747
Sole ProprietorNo
Enumeration DateNovember 10, 2016
NPI 1639611486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in OK · 261QM0801X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
412 S CENTRAL AVE, Idabel, OK 74745

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
412 S CENTRAL AVE
IDABEL, OK 74745
Case Manager/Care Coordinator
412 S CENTRAL AVE
IDABEL, OK 74745
Clinic/Center (Mental Health (Including Community Mental Health Center))
412 S CENTRAL AVE
IDABEL, OK 74745

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 Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1639611486. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Tracy Jackson located?

Tracy Jackson practices at 412 S Central Ave, Idabel, OK 74745. The listed phone number is (580) 286-6671.

What is Tracy 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 Tracy Jackson was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.