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JAC ANDERSON
NPI 1245915388
Behavior Technician in Hugo, MN

Active since June 16, 2023
14663 MERCANTILE DR N, HUGO, MN 55038(612) 405-3156 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jac Anderson NPPES

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

JAC ANDERSON (NPI 1245915388) is an individual behavior technician in Hugo, Minnesota and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1245915388
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJAC ANDERSON
Location Address14663 MERCANTILE DR NHugo, MN 55038-4559
Mailing Address14663 Mercantile Dr NHugo, MN 55038-4559 · (612) 405-3156
Phone(612) 405-3156
Sole ProprietorNo
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1245915388 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.

14663 MERCANTILE DR N, Hugo, MN 55038
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Other Names 1

Former Name (1)Grace Anderson

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.

JILL K FAHNHORST PT
Physical Therapist
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (651) 466-1950
LEANN KAY SAGERER OTR
Occupational Therapist (Pediatrics)
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (651) 407-3777
MRS. HEATHER MICHELLE HAIDER OTRL
Specialist
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (651) 407-3777
ARLIE JEAN POST PTA
Physical Therapy Assistant
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (651) 503-3169
KELSEY MARIE ADAIR BCBA
Behavior Analyst
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (651) 405-3156
AMANDA JEAN STUDT
Behavior Technician
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (612) 405-3156
JADE KELM
Behavior Technician
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (612) 405-3156
MADISON SHANNON
Behavior Technician
14663 MERCANTILE DR N
HUGO, MN 55038
Washington County (612) 405-3156

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 Jac Anderson's NPI number?

The NPI number for Jac Anderson is 1245915388. It was assigned to this individual provider in the NPPES registry on June 16, 2023. The provider is also known as Grace Anderson.

Where is Jac Anderson located?

Jac Anderson practices at 14663 Mercantile Dr N, Hugo, MN 55038. The listed phone number is (612) 405-3156.

What is Jac Anderson'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 Jac Anderson was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.