LACEY JACKSON

Behavior Analyst

Active Individual
NPI: 1639794746

Practice Address

1537 E GRANDE BLVD
Tyler, TX 75703

Phone: (903) 630-7077

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes 3591 (TX)

Frequently Asked Questions

NPI 1639794746 is the National Provider Identifier for LACEY JACKSON, a Behavior Analyst provider located in Tyler, TX. This NPI was enumerated on June 15, 2020.
LACEY JACKSON practices at 1537 E GRANDE BLVD, Tyler, TX 75703.

Quick Facts

NPI
1639794746
Type
Individual
Enumerated
Jun 15, 2020
Last Updated
Oct 8, 2025

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