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

Shantara Alexandria Jackson

Individual provider Behavior Technician · NPI 1467314039

Shantara Alexandria Jackson is a Behavior Technician in Woodbury, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

7805 Hudson Rd Ste 190
Woodbury, MN 55125
Phone: (952) 767-4200
Fax: (952) 767-4211
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 number1467314039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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