JACKSON JAMES BLACK BULL
NPI 1093627416
Behavior Technician in Eden Prairie, MN
About Jackson James Black Bull NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON JAMES BLACK BULL (NPI 1093627416) is an individual behavior technician in Eden Prairie, Minnesota and active in the NPI registry since September 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackson Black Bull's NPI number?
The NPI number for Jackson Black Bull is 1093627416. It was assigned to this individual provider in the NPPES registry on September 21, 2026.
Where is Jackson Black Bull located?
Jackson Black Bull practices at 7615 Golden Triangle Dr Ste A, Eden Prairie, MN 55344. The listed phone number is (952) 767-2974.
What is Jackson Black Bull's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jackson Black Bull was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.