Jaelyn Fjetland

Individual provider Active NPI Behavior Technician · Hugo, MN

NPI 1962391565 · NPPES record last updated Jun 30, 2025

Key facts

NPI
1962391565
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
14663 Mercantile Dr N
Hugo, MN 55038-4559
Phone
(612) 405-3156
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

14663 Mercantile Dr N
Hugo, MN 55038-4559

Mailing address

14663 Mercantile Dr N
Hugo, MN 55038-4559

Other practice location 1

10190 Baltimore St NE Ste 200
Blaine, MN 55449-6045
Phone (612) 400-5731

Other providers in Hugo, MN

All providers in Hugo, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.