Kyendia Eternity Jackson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

410 Teaco Rd
Kennett, MO 63857-3239

Phone

(870) 565-9776

NPI assigned

Aug 26, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1235046921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BEASLEY RD APT B",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638771507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573239",
            "telephone_number": "870-565-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KYENDIA",
        "middle_name": "ETERNITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jackson
• Cally Anne Jackson
• Holly Jackson
• Jennifer Jackson
• Jessica Leah Jackson, CWH, CPS
• Wesley Eric Jackson
• Dave K Jain, DO
• Lauren Hodge Jain, DMD
• Jessica Jamerson
• Jordan A Jamison

• Behavior Technician in Kennett, MO
• Providers in Kennett, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.