Individual provider · Type 1 NPI

Samantha Andersen

Behavior Technician · Fridley, MN

NPI number 1477447175 Active

Practice location

500 Medtronic Parkway North
Fridley, MN 55432

Fax (952) 767-4211

Mailing address

5860 Baker Rd
Minnetonka, MN 55345

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1477447175

Samantha Andersen's National Provider Identifier is 1477447175, issued on Jun 6, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fridley, MN. The record was last updated on Jun 6, 2025.