Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336789130 Individual Practitioner Female Practitioner

Samantha Jeanne Wanner

Behavior Analyst • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Samantha Wanner is a registered healthcare professional specializing in Behavior Analyst in Coon Rapids, MN. Practice services are available at 3777 COON RAPIDS BLVD NW STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3777 Coon Rapids Blvd Nw Ste 120

Coon Rapids, MN 554332630

Telephone 6124296686
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Coon Rapids, MN (1398 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MN 0414

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 25, 2025

Registered at 3777 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 554332630 (Tel: 6124296686)

📍
Updated Business Mailing Address November 25, 2025

Registered at 3777 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 554332630

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2025

Behavior Analyst (License #0414 in MN)

NPI Profile Active January 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2020

Registered at 205 14TH AVE E, SARTELL, MN 563774500 (Tel: 3207743436)

📍
Updated Business Mailing Address January 09, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

👤
Provider Name / Credentials Updated January 09, 2020

Recorded as SAMANTHA WANNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336789130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2020
Last Update: November 25, 2025
Sole Proprietor: No

Mailing Address

3777 Coon Rapids Blvd Nw Ste 120

Coon Rapids, MN 554332630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.