Samantha Wanner

NPI 1336789130 · on the registry since 2020

Practice

Address: 3777 Coon Rapids Blvd Nw Ste 120
Coon Rapids, MN 55433
Phone: (612) 429-6686
Organisation at this address: North Suburban Optical
Edina Eye Physicians And Surgeons Pa
Bio-Medical Applications Of Minnesota, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota