Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jac Anderson

Individual provider Behavior Technician · NPI 1245915388

Jac Anderson is a Behavior Technician in Hugo, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

14663 Mercantile Dr N
Hugo, MN 55038-4559
Phone: (612) 405-3156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1245915388
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023
Mailing address14663 Mercantile Dr N, Hugo, MN 55038-4559

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