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

Samuel Augustine Anthony

Individual provider Behavior Technician · NPI 1487527974

Samuel Augustine Anthony is a Behavior Technician in Hermantown, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5155 Miller Trunk Hwy
Hermantown, MN 55811
Phone: (952) 767-4200
Fax: (952) 767-4211
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 number1487527974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address5860 Baker Rd, Minnetonka, MN 55345

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