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

Samantha Raye Samuelson

Individual provider Behavior Technician · NPI 1235080672

Samantha Raye Samuelson is a Behavior Technician in Hermantown, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4140 Richard Ave Ste 200300
Hermantown, MN 55811-2869
Phone: (218) 520-3411
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 number1235080672
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address4140 Richard Ave Ste 200300, Hermantown, MN 55811-2869

Other providers in Hermantown