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LACEY KRISTINE JACKSON
NPI 1639794746
Behavior Analyst in Tyler, TX

Active since June 15, 2020
1537 E GRANDE BLVD, TYLER, TX 75703(903) 630-7077 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jun 15, 2020 (2 updates tracked since 2020).

About Lacey Kristine Jackson NPPES

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

LACEY KRISTINE JACKSON (NPI 1639794746) is an individual behavior analyst provider in Tyler, Texas, licensed in Texas (3591) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1639794746
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameLACEY KRISTINE JACKSON
Location Address1537 E GRANDE BLVDTyler, TX 75703-3900
Mailing Address1537 E Grande BlvdTyler, TX 75703-3900
Phone(903) 630-7077
Sole ProprietorNo
Enumeration DateJune 15, 2020
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1639794746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in TX · 3591
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1537 E GRANDE BLVD, Tyler, TX 75703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

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

CHEYENNE ROSS
Behavior Analyst
1537 E GRANDE BLVD
TYLER, TX 75703
Smith County (512) 401-3612
CAITLIN NICOLE WILKINS ATC, LAT
Specialist/Technologist (Athletic Trainer)
1537 E GRANDE BLVD, SUITE 100
TYLER, TX 75703
Smith County (903) 630-7267

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 Lacey Jackson's NPI number?

The NPI number for Lacey Jackson is 1639794746. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Lacey Jackson located?

Lacey Jackson practices at 1537 E Grande Blvd, Tyler, TX 75703. The listed phone number is (903) 630-7077.

What is Lacey Jackson's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Lacey Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas list Lacey Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Jackson was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.