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Jack Scudder
NPI 1235894817 · Behavior Technician · Coon Rapids, MN
Jack Scudder is a Behavior Technician provider in Coon Rapids, MN (NPI 1235894817).
Provider details
- NPI number
- 1235894817
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 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
9120 Springbrook Dr Nw
Coon Rapids, MN 55433-5845
Phone: (763) 231-2590
Street-level locationGet directions
Mailing address
8650 Davenport St Ne
Blaine, MN 55449-4234
Registry dates
- Enumerated
- 2021-11-08
- Last updated
- 2021-11-08
- Certified
- 2021-11-08
Frequently asked questions
- What is Jack Scudder's NPI number?
- Jack Scudder's National Provider Identifier (NPI) is 1235894817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Scudder's specialty?
- Jack Scudder is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jack Scudder located?
- Jack Scudder's practice location on file with NPPES is 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845.
- What is Jack Scudder's phone number?
- The practice phone number listed in the NPPES registry for Jack Scudder is (763) 231-2590.
- Is Jack Scudder's NPI active?
- Yes — Jack Scudder's NPI (1235894817) is active in the NPPES registry as of the last update on 2021-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.