IndividualActive
Latrice Jackson
NPI 1255045704 · Behavior Technician · Dearborn, MI
Latrice Jackson is a Behavior Technician provider in Dearborn, MI (NPI 1255045704).
Provider details
- NPI number
- 1255045704
- 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(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2021 Monroe St Ste 304
Dearborn, MI 48124-2926
Phone: (517) 245-4778
Fax: (517) 698-8223
Street-level locationGet directions
Mailing address
Po Box 12279
Lansing, MI 48901-2279
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Frequently asked questions
- What is Latrice Jackson's NPI number?
- Latrice Jackson's National Provider Identifier (NPI) is 1255045704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Latrice Jackson's specialty?
- Latrice Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Latrice Jackson located?
- Latrice Jackson's practice location on file with NPPES is 2021 Monroe St Ste 304, Dearborn, MI 48124-2926.
- What is Latrice Jackson's phone number?
- The practice phone number listed in the NPPES registry for Latrice Jackson is (517) 245-4778.
- Is Latrice Jackson's NPI active?
- Yes — Latrice Jackson's NPI (1255045704) is active in the NPPES registry as of the last update on 2023-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.