IndividualActive
Chantra-Lee Jackson
NPI 1811690605 · Behavior Technician · Shakopee, MN
Chantra-Lee Jackson is a Behavior Technician provider in Shakopee, MN (NPI 1811690605).
Provider details
- NPI number
- 1811690605
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Phone: (612) 509-6681
Street-level locationGet directions
Mailing address
4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-20
Frequently asked questions
- What is Chantra-Lee Jackson's NPI number?
- Chantra-Lee Jackson's National Provider Identifier (NPI) is 1811690605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chantra-Lee Jackson's specialty?
- Chantra-Lee Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Chantra-Lee Jackson located?
- Chantra-Lee Jackson's practice location on file with NPPES is 4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863.
- What is Chantra-Lee Jackson's phone number?
- The practice phone number listed in the NPPES registry for Chantra-Lee Jackson is (612) 509-6681.
- Is Chantra-Lee Jackson's NPI active?
- Yes — Chantra-Lee Jackson's NPI (1811690605) is active in the NPPES registry as of the last update on 2023-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.