Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Aazha'Rae Cimone Jackson

Behavior Technician in Mendota Heights, MN · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104708585

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Registry record

Entity type Individual (Type 1)

Name Aazha'Rae Cimone Jackson

Sex Female

Practice address Mendota Heights, MN, 55120

Phone (651) 431-6628

Fax (919) 561-6112

Enumeration date Jul 24, 2025

Last updated in NPPES Jul 24, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

106S00000X Behavior Technician Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Aazha'Rae Jackson practice?

The practice location on file with NPPES is in Mendota Heights, MN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Aazha'Rae Jackson?

The National Provider Identifier (NPI) for Aazha'Rae Jackson is 1104708585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-24.