What is Lacey Jackson's NPI number?

Lacey Jackson's National Provider Identifier (NPI) is 1639794746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lacey Jackson's specialty?

Lacey Jackson is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Lacey Jackson located?

Lacey Jackson's practice location on file with NPPES is 1537 E Grande Blvd, Tyler, TX 75703-3900.

What is Lacey Jackson's phone number?

The practice phone number listed in the NPPES registry for Lacey Jackson is (903) 630-7077.

Is Lacey Jackson's NPI active?

Yes — Lacey Jackson's NPI (1639794746) is active in the NPPES registry as of the last update on 2025-10-08.

IndividualActive

Lacey Jackson

NPI 1639794746 · Behavior Analyst · Tyler, TX

Lacey Jackson is a Behavior Analyst provider in Tyler, TX (NPI 1639794746).

Provider details

NPI number: 1639794746
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 3591 (TX)

Specialties & taxonomies

Behavior AnalystPrimary103K00000XLicense 3591 (TX)
Behavioral Health & Social Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1537 E Grande Blvd

Tyler, TX 75703-3900

Phone: (903) 630-7077

Street-level locationGet directions

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Mailing address