IndividualActive
Shanisha Jackson
NPI 1073498952 · Behavior Technician · Modesto, CA
Shanisha Jackson is a Behavior Technician provider in Modesto, CA (NPI 1073498952).
Provider details
- NPI number
- 1073498952
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
605 Standiford Ave Ste 10
Modesto, CA 95350-1000
Phone: (877) 418-2978
Street-level locationGet directions
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Registry dates
- Enumerated
- 2025-08-08
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Frequently asked questions
- What is Shanisha Jackson's NPI number?
- Shanisha Jackson's National Provider Identifier (NPI) is 1073498952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanisha Jackson's specialty?
- Shanisha Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shanisha Jackson located?
- Shanisha Jackson's practice location on file with NPPES is 605 Standiford Ave Ste 10, Modesto, CA 95350-1000.
- What is Shanisha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shanisha Jackson is (877) 418-2978.
- Is Shanisha Jackson's NPI active?
- Yes — Shanisha Jackson's NPI (1073498952) is active in the NPPES registry as of the last update on 2025-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.