Tracy Lynn Jackson
Tracy Lynn Jackson is a Behavior Technician provider (Behavior Technician) practicing in Idabel, OK, registered in the NPPES registry with NPI 1639611486 since 2016.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639611486 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tracy Lynn Jackson |
| Sex | Female |
| Practice address | 412 S CENTRAL AVE, Idabel, OK, 74745 |
| Phone | 5802866671 |
| Fax | 5802865747 |
| Enumeration date | 2016-11-10 |
| Last updated in NPPES | 2016-11-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | Primary | 261QM0801X | OK |
Copy-ready billing details
Provider: Tracy Jackson NPI: 1639611486 Taxonomy: 106S00000X (Behavior Technician) Address: 412 S CENTRAL AVE, Idabel, OK, 74745
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336929736 | Brandie Long | Individual | Case Manager/Care Coordinator | Idabel, OK |
| 1134900905 | Jake Copeland | Individual | Case Manager/Care Coordinator | Idabel, OK |
| 1659133445 | Sara Hoffpauir | Individual | Mental Health Clinic/Center (Including Community Mental Health Center) | Idabel, OK |
Verify this record
Cross-check NPI 1639611486 against the authoritative CMS record: view Tracy Lynn Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Tracy Jackson?
Where does Tracy Jackson practice?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-11-10.