JACK SCUDDER
NPI 1235894817
Behavior Technician in Coon Rapids, MN
About Jack Scudder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK SCUDDER (NPI 1235894817) is an individual behavior technician in Coon Rapids, Minnesota and active in the NPI registry since November 2021.
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 Jack Scudder's NPI number?
The NPI number for Jack Scudder is 1235894817. It was assigned to this individual provider in the NPPES registry on November 8, 2021.
Where is Jack Scudder located?
Jack Scudder practices at 9120 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 231-2590.
What is Jack Scudder'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 Jack Scudder was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.