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Aazha'Rae Jackson
NPI 1104708585 · Behavior Technician · Mendota Heights, MN
Aazha'Rae Jackson is a Behavior Technician provider in Mendota Heights, MN (NPI 1104708585).
Provider details
- NPI number
- 1104708585
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
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
1345 Mendota Heights Rd Ste 400
Mendota Heights, MN 55120-2007
Phone: (651) 431-6628
Fax: (919) 561-6112
Approximate (ZIP-level) locationGet directions
Mailing address
382 Ne 191st St Ste 98090
Miami, FL 33179-3899
Registry dates
- Enumerated
- 2025-07-24
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Aazha'Rae Jackson's NPI number?
- Aazha'Rae Jackson's National Provider Identifier (NPI) is 1104708585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Aazha'Rae Jackson's specialty?
- Aazha'Rae Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Aazha'Rae Jackson located?
- Aazha'Rae Jackson's practice location on file with NPPES is 1345 Mendota Heights Rd Ste 400, Mendota Heights, MN 55120-2007.
- What is Aazha'Rae Jackson's phone number?
- The practice phone number listed in the NPPES registry for Aazha'Rae Jackson is (651) 431-6628.
- Is Aazha'Rae Jackson's NPI active?
- Yes — Aazha'Rae Jackson's NPI (1104708585) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.