Provider Demographics
NPI:1366305633
Name:HACKETT, JESICA RACHEL (RBT)
Entity type:Individual
Prefix:MS
First Name:JESICA
Middle Name:RACHEL
Last Name:HACKETT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 ESTELLE AVE
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-8203
Mailing Address - Country:US
Mailing Address - Phone:915-251-6801
Mailing Address - Fax:
Practice Address - Street 1:3919 ARANSAS DR
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-7680
Practice Address - Country:US
Practice Address - Phone:254-878-2012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty