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NPI Code Detail

MEDICARE: SAMANTHA ANN WALKER

MEDICARE: SAMANTHA ANN WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679408306
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ANN WALKER
Provider Business Mailing Address
First Line : 8980 ZACHARY LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4018
Country : US
Telephone Number : 763-231-2000
Fax Number :
Provider Business Practice Location Address
First Line : 8980 ZACHARY LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4018
Country : US
Telephone Number : 763-231-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SAMANTHA ANN WALKER ” Practice Location

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