Anna Jeffers

Individual provider Active NPI Behavior Technician · Grand Forks, ND

NPI 1992563225 · NPPES record last updated Mar 11, 2024

Key facts

NPI
1992563225
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
24332901 (ND)
Practice address
2016 S Washington St
Grand Forks, ND 58201-6342
Phone
(701) 757-4200
NPI assigned
Mar 11, 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

State licenses

LicenseStateTypeSpecialty
24332901NDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center Behavior Technician Current
since Feb 28, 2025
Accepting new patients
Anne Carlsen Center Past
since Mar 17, 2024
Accepting new patients

Locations

2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24332901 ND Yes

Addresses

Primary practice location

2016 S Washington St
Grand Forks, ND 58201-6342

Mailing address

2200 S 34TH St Apt 501
Grand Forks, ND 58201-5761

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Behavior Technician in North Dakota

Sources for this page

Verify at the official NPI Registry.