IndividualActive
Cordetta Jackson
NPI 1699418582 · Behavior Technician · Southlake, TX
Cordetta Jackson is a Behavior Technician provider in Southlake, TX (NPI 1699418582).
Provider details
- NPI number
- 1699418582
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-18-16039 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 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
100% 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
2104 Greenbriar Dr
Southlake, TX 76092-8355
Phone: (817) 442-9022
Street-level locationGet directions
Mailing address
2104 Greenbriar Dr
Southlake, TX 76092-8355
Registry dates
- Enumerated
- 2022-04-18
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Frequently asked questions
- What is Cordetta Jackson's NPI number?
- Cordetta Jackson's National Provider Identifier (NPI) is 1699418582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cordetta Jackson's specialty?
- Cordetta Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Cordetta Jackson located?
- Cordetta Jackson's practice location on file with NPPES is 2104 Greenbriar Dr, Southlake, TX 76092-8355.
- What is Cordetta Jackson's phone number?
- The practice phone number listed in the NPPES registry for Cordetta Jackson is (817) 442-9022.
- Is Cordetta Jackson's NPI active?
- Yes — Cordetta Jackson's NPI (1699418582) is active in the NPPES registry as of the last update on 2022-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.