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

Samantha Jeanne Wanner

Individual provider Behavior Analyst · NPI 1336789130

Samantha Jeanne Wanner is a Behavior Analyst in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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Practice location Address checks out

3777 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-2630
Phone: (612) 429-6686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0414 (MN)

Record details

NPI number1336789130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

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