What is Latrisse Jackson's NPI number?

Latrisse Jackson's National Provider Identifier (NPI) is 1710726930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Latrisse Jackson's specialty?

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

Where is Latrisse Jackson located?

Latrisse Jackson's practice location on file with NPPES is 137 Spindletop Way # 137, Stockbridge, GA 30281-7221.

What is Latrisse Jackson's phone number?

The practice phone number listed in the NPPES registry for Latrisse Jackson is (631) 530-3900.

Is Latrisse Jackson's NPI active?

Yes — Latrisse Jackson's NPI (1710726930) is active in the NPPES registry as of the last update on 2024-06-04.

IndividualActive

Latrisse Jackson

NPI 1710726930 · Behavior Technician · Stockbridge, GA

Latrisse Jackson is a Behavior Technician provider in Stockbridge, GA (NPI 1710726930).

Provider details

NPI number: 1710726930
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

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

137 Spindletop Way # 137

Stockbridge, GA 30281-7221

Phone: (631) 530-3900

Street-level locationGet directions

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Mailing address