Jennifer Antcliff

Individual provider Active NPI Behavior Technician · Virginia, MN

NPI 1376432047 · NPPES record last updated Jun 30, 2025

Key facts

NPI
1376432047
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
910 8TH St S
Virginia, MN 55792-3236
Phone
(218) 748-8500
Fax
(218) 212-3444
NPI assigned
Jun 30, 2025
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 Jul 9, 2025
Accepting new patients
Guided Transitions LLC Current
since Jul 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

910 8TH St S
Virginia, MN 55792-3236

Mailing address

PO Box 236
Cotton, MN 55724-0236
Phone (218) 748-8500

Other providers in Virginia, MN

All providers in Virginia, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.