IndividualActive
Alexandra Jacklen
NPI 1417705690 · Behavior Technician · Virginia, MN
Provider details
- NPI number
- 1417705690
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
910 8th St S Ste B
Virginia, MN 55792-3236
Phone: (218) 748-8500
Fax: (218) 212-3444
Mailing address
Po Box 236
Cotton, MN 55724-0236
Registry dates
- Enumerated
- 2024-05-10
- Last updated
- 2024-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.