What is Desirae Jackson's NPI number?

Desirae Jackson's National Provider Identifier (NPI) is 1710793005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Desirae Jackson's specialty?

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

Where is Desirae Jackson located?

Desirae Jackson's practice location on file with NPPES is 4084 Regent Dr, Wichita Falls, TX 76308-1508.

What is Desirae Jackson's phone number?

The practice phone number listed in the NPPES registry for Desirae Jackson is (940) 228-5297.

Is Desirae Jackson's NPI active?

Yes — Desirae Jackson's NPI (1710793005) is active in the NPPES registry as of the last update on 2024-12-10.

IndividualActive

Desirae Jackson

NPI 1710793005 · Behavior Technician · Wichita Falls, TX

Desirae Jackson is a Behavior Technician provider in Wichita Falls, TX (NPI 1710793005).

Provider details

NPI number: 1710793005
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

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

Registry tenure38% of score
1 yr 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

4084 Regent Dr

Wichita Falls, TX 76308-1508

Phone: (940) 228-5297

Fax: (940) 500-4025

Street-level locationGet directions

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Mailing address