Samantha Raye Samuelson
NPI #1235080672 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1235080672
- Entity Type
- Individual
- Name
- Samantha Raye Samuelson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 3, 2026
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 4140 RICHARD AVE STE 200300
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-2869
- Phone
- (218) 520-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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