Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phyllis Marie Samuel

Individual provider Behavior Technician · NPI 1457137796

Phyllis Marie Samuel is a Behavior Technician in Saint Paul, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1380 Energy Ln Ste 201
Saint Paul, MN 55108-5253
Phone: (763) 346-0522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1457137796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 2, 2023
Mailing address1380 Energy Ln Ste 201, Saint Paul, MN 55108-5253

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