LACEY KRISTINE JACKSON (NPI# 1639794746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639794746 |
| Entity Type | Individual |
| Full Name | LACEY KRISTINE JACKSON |
| Practice Address |
1537 E Grande Blvd Tyler TX 75703-3900 |
| Practice Telephone | 9036307077 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031514 | Lacey Jackson | Behavior Technician | 124 Lisa Ave, Lathrop, MO 64465-9641 | 2019-06-12 |
| 1013542497 | Lacey Janee Jackson | Specialist/Technologist, Other | 1141 N Loop 1604 E # 105-610, San Antonio, TX 78232-1339 | 2020-03-06 |
| 1942762497 | Lacey Jackson | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2019-04-03 |
| 1780976530 | Lacey Jean Jackson | Pharmacist | 4220 Wheaton Way, Bremerton, WA 98310-3604 | 2011-05-12 |
| 1790098317 | Lacey J Jackson | Pharmacist | 11815 Fountain Way, One City Center Suite 300, Newport News, VA 23606-4448 | 2010-07-24 |
| 1417096082 | Lacey Jackson | Specialist | 712 Trosper Rd Sw, Tumwater, WA 98512-6934 | 2007-02-06 |
| Street Address |
1537 E GRANDE BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649631466 | Caitlin Nicole Wilkins | Specialist/Technologist | 1537 E Grande Blvd, Suite 100, Tyler, TX 75703-3900 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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. 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005944 | Jessica Turner | Behavioral Analyst | 1537 E Grande Blvd Ste 400, Tyler, TX 75703-3986 | 2020-08-28 |
| 1710503479 | Paige Ferrell | Behavioral Analyst | 17610 County Road 46, Tyler, TX 75704-3636 | 2020-06-18 |
| 1932729621 | Hayden Lee Heath Jr. | Behavioral Analyst | 14864 Harvey Road, Tyler, TX 75706 | 2020-04-22 |
| 1447681341 | Courtney Therneau | Behavioral Analyst | 212 Old Grande Blvd Ste C118, Tyler, TX 75703-4265 | 2013-12-03 |
| 1922636422 | Casey Lukacs | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2020-03-30 |
| 1295362119 | Heather L Henderson | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2020-03-23 |
| 1932758356 | Natisha Lyann Allen | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2019-09-09 |
| 1194389668 | Steven D Burgess | Behavioral Analyst | 1722 W Front St, Tyler, TX 75702-6823 | 2019-04-30 |
| 1548706815 | Mollie Eaton | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2017-01-11 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.