JACKSON LUTHER
NPI 1144897463
Behavior Technician in Hermantown, MN

Q: What is Jackson Luther's NPI number?

The NPI number for Jackson Luther is 1144897463. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Q: What is Jackson Luther's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Luther was last updated on February 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2021

4140 RICHARD AVE STE 200, HERMANTOWN, MN 55811(218) 514-5230 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, Jun 6, 2021 (2 updates tracked since 2021).

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About Jackson Luther NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON LUTHER (NPI 1144897463) is an individual behavior technician in Hermantown, Minnesota and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1144897463

Entity TypeIndividualMale

Primary Taxonomy106S00000X

Provider Legal NameJACKSON LUTHER

Location Address4140 RICHARD AVE STE 200Hermantown, MN 55811-3309

Mailing Address731 E 7th St Apt 2Duluth, MN 55805-3411

Phone(218) 514-5230

Sole ProprietorNo

Enumeration DateJune 6, 2021

Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1144897463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

4140 RICHARD AVE STE 200, Hermantown, MN 55811

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Other Identifiers 1

Medicaid1588993091MN

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.

OLIVIA ROSE LOPAC

Technician, Other