Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chantra-Lee Jackson

Individual provider Behavior Technician · NPI 1811690605

Chantra-Lee Jackson is a Behavior Technician in Shakopee, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4201 Dean Lakes Blvd Ste 160
Shakopee, MN 55379-2863
Phone: (612) 509-6681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1811690605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 20, 2023
Mailing address4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863

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