IndividualActive
Latasha Jackson
NPI 1639042120 · Behavior Technician · Woodbury, MN
Latasha Jackson is a Behavior Technician provider in Woodbury, MN (NPI 1639042120).
Provider details
- NPI number
- 1639042120
- 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
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
7805 Hudson Rd
Suite 190
Woodbury, MN 55125
Phone: (952) 767-4200
Fax: (952) 767-4211
Street-level locationGet directions
Mailing address
5860 Baker Rd
Minnetonka, MN 55345
Registry dates
- Enumerated
- 2025-09-29
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Latasha Jackson's NPI number?
- Latasha Jackson's National Provider Identifier (NPI) is 1639042120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Latasha Jackson's specialty?
- Latasha Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Latasha Jackson located?
- Latasha Jackson's practice location on file with NPPES is 7805 Hudson Rd, Woodbury, MN 55125.
- What is Latasha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Latasha Jackson is (952) 767-4200.
- Is Latasha Jackson's NPI active?
- Yes — Latasha Jackson's NPI (1639042120) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.