Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639611486 Individual Practitioner Female Practitioner

Tracy Lynn Jackson

Behavior Technician • Idabel, OK

Professional Overview & Biography Verified Profile Summary

Tracy Jackson is a registered healthcare professional specializing in Behavior Technician in Idabel, OK. Practice services are available at 412 S CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

412 S Central Ave

Idabel, OK 747456060

Telephone 5802866671
Fax 5802865747
Associated Practice Facility / Clinic
🏢 Kiamichi Youth Services Facility NPI 1669597647

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Idabel, OK (6013 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License OK 261QM0801X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1083053003
Corey Griffin , MS

Counselor - Mental Health

NPI 1093031809

Master of Science

NPI 1154633733

Master of Science

NPI 1205272077
Trevor Mccane , BA

Case Manager/Care Coordinator

NPI 1255913695

Bachelor of Arts

NPI 1275974479

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2016

Registered at 412 S CENTRAL AVE, IDABEL, OK 747456060 (Tel: 5802866671)

📍
Updated Business Mailing Address November 10, 2016

Registered at 412 S CENTRAL AVE, IDABEL, OK 747456060 (Tel: 5802866671)

👤
Provider Name / Credentials Updated November 10, 2016

Recorded as TRACY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Behavior Technician (License #261QM0801X in OK)

🟢
Initial NPI Registration & Enumeration November 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639611486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2016
Last Update: November 10, 2016
Sole Proprietor: No

Mailing Address

412 S Central Ave

Idabel, OK 747456060

Phone: 5802866671

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.