IndividualActive
Samuel Wayne
NPI 1215722103 · Behavior Technician · Mendota Heights, MN
Samuel Wayne is a Behavior Technician provider in Mendota Heights, MN (NPI 1215722103).
Provider details
- NPI number
- 1215722103
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2060 Centre Pointe Blvd Ste 3
Mendota Heights, MN 55120-1271
Phone: (612) 447-2689
Street-level locationGet directions
Mailing address
2060 Centre Pointe Blvd Ste 3
Mendota Heights, MN 55120-1271
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Samuel Wayne's NPI number?
- Samuel Wayne's National Provider Identifier (NPI) is 1215722103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Wayne's specialty?
- Samuel Wayne is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Wayne located?
- Samuel Wayne's practice location on file with NPPES is 2060 Centre Pointe Blvd Ste 3, Mendota Heights, MN 55120-1271.
- What is Samuel Wayne's phone number?
- The practice phone number listed in the NPPES registry for Samuel Wayne is (612) 447-2689.
- Is Samuel Wayne's NPI active?
- Yes — Samuel Wayne's NPI (1215722103) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.