IndividualActive
Emilee Jackson
NPI 1104623628 · Behavior Technician · Provo, UT
Emilee Jackson is a Behavior Technician provider in Provo, UT (NPI 1104623628).
Provider details
- NPI number
- 1104623628
- 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
1 yr in NPPES 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
585 E Lakeview Pkwy Bldg 6
Provo, UT 84606-7312
Phone: (801) 935-4171
Approximate (ZIP-level) locationGet directions
Mailing address
16255 Ventura Blvd Ste 830
Encino, CA 91436-2317
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Emilee Jackson's NPI number?
- Emilee Jackson's National Provider Identifier (NPI) is 1104623628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Emilee Jackson's specialty?
- Emilee Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Emilee Jackson located?
- Emilee Jackson's practice location on file with NPPES is 585 E Lakeview Pkwy Bldg 6, Provo, UT 84606-7312.
- What is Emilee Jackson's phone number?
- The practice phone number listed in the NPPES registry for Emilee Jackson is (801) 935-4171.
- Is Emilee Jackson's NPI active?
- Yes — Emilee Jackson's NPI (1104623628) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.