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

Jack Scudder

Individual provider Behavior Technician · NPI 1235894817

Jack Scudder is a Behavior Technician in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Phone: (763) 231-2590
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MN)

Record details

NPI number1235894817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address8650 Davenport St Ne, Blaine, MN 55449-4234

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