IndividualActive
Brandon Jackson
NPI 1861211781 · Behavior Technician · Baxter, MN
Provider details
- NPI number
- 1861211781
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
7938 College Rd
Baxter, MN 56425-8636
Registry dates
- Enumerated
- 2024-10-08
- Last updated
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.