Individual provider · Type 1 NPI

Samantha Jeanne Wanner

Behavior Analyst · Coon Rapids, MN

NPI number 1336789130 Active

Practice location

3777 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2630

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	0414 (MN)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

Another provider at this address

Bio-Medical Applications of Minnesota, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Coon Rapids, MN NPI 1588005300

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About NPI 1336789130

Samantha Jeanne Wanner's National Provider Identifier is 1336789130, issued on Jan 9, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 25, 2025.