Jessica E Erickson

Individual provider Active NPI Behavior Technician · Virginia, MN

NPI 1073369443 · NPPES record last updated Apr 26, 2024

Key facts

NPI
1073369443
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
910 8TH St S Ste B
Virginia, MN 55792-3236
Phone
(218) 748-8500
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Range Behavioral Services, LLC Current
since Apr 28, 2024
Accepting new patients
Guided Transitions LLC Current
since May 7, 2024
Accepting new patients

Locations

910 8th St S
Ste B
Virginia, MN 55792
Phone (218) 748-8500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

910 8TH St S Ste B
Virginia, MN 55792-3236

Mailing address

PO Box 236
Cotton, MN 55724-0236

Other names

  • Jessica Melander Former name

Other providers in Virginia, MN

All providers in Virginia, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.