| Autism Institute Of Minnesota Llp | |
|
1973 Sloan Pl Ste 100 Maplewood MN 55117-2085 | |
| (651) 797-4821 | |
| (651) 369-9887 |
| Full Name | Autism Institute Of Minnesota Llp |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1973 Sloan Pl Ste 100, Maplewood, Minnesota |
| Authorized Official Name and Position | Khadar Wardere (DIRECTOR) |
| Authorized Official Contact | 6517974821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Institute Of Minnesota Llp 1973 Sloan Pl Ste 100 Maplewood MN 55117-2085 Ph: (651) 797-4821 | Autism Institute Of Minnesota Llp 1973 Sloan Pl Ste 100 Maplewood MN 55117-2085 Ph: (651) 797-4821 |
| NPI Number | 1932821477 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 06/08/2026 |
| Certification Date | 06/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932821477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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