What is Kassidy Jackson's NPI number?

Kassidy Jackson's National Provider Identifier (NPI) is 1366391062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kassidy Jackson's specialty?

Kassidy Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kassidy Jackson located?

Kassidy Jackson's practice location on file with NPPES is 690 Cleveland Ave S, Saint Paul, MN 55116-1319.

What is Kassidy Jackson's phone number?

The practice phone number listed in the NPPES registry for Kassidy Jackson is (651) 493-8412.

Is Kassidy Jackson's NPI active?

Yes — Kassidy Jackson's NPI (1366391062) is active in the NPPES registry as of the last update on 2026-01-26.

IndividualActive

Kassidy Jackson

NPI 1366391062 · Behavior Technician · Saint Paul, MN

Kassidy Jackson is a Behavior Technician provider in Saint Paul, MN (NPI 1366391062).

Provider details

NPI number: 1366391062
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(47/100 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

690 Cleveland Ave S

Saint Paul, MN 55116-1319

Phone: (651) 493-8412

Fax: (651) 493-8412

Street-level locationGet directions

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Mailing address