IndividualActive
Micha Jackson
NPI 1164179420 · Behavior Technician · Cape Girardeau, MO
Micha Jackson is a Behavior Technician provider in Cape Girardeau, MO (NPI 1164179420).
Provider details
- NPI number
- 1164179420
- 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
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
3037 Lexington Ave
Cape Girardeau, MO 63701-2602
Phone: (573) 708-7250
Fax: (800) 687-5070
Street-level locationGet directions
Mailing address
4721 S Cliff Ave Ste 103
Independence, MO 64055-6969
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Frequently asked questions
- What is Micha Jackson's NPI number?
- Micha Jackson's National Provider Identifier (NPI) is 1164179420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Micha Jackson's specialty?
- Micha Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Micha Jackson located?
- Micha Jackson's practice location on file with NPPES is 3037 Lexington Ave, Cape Girardeau, MO 63701-2602.
- What is Micha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Micha Jackson is (573) 708-7250.
- Is Micha Jackson's NPI active?
- Yes — Micha Jackson's NPI (1164179420) is active in the NPPES registry as of the last update on 2022-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.