NPIMap

Organization Active NPI

Just Kids Autism Center

  • Behavior Analyst
  • Bloomington, MN
National Provider Identifier
1023941697
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JUST KIDS AUTISM CENTER
Practice address
5221 Viking Dr
Bloomington, MN 55435-5317
Phone
(651) 502-2945
Fax
(612) 230-5364
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Salena Lolita May Sage
Title
Level 2
Phone
(651) 502-2945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

5221 Viking Dr
Bloomington, MN 55435-5317

Mailing address

5221 Viking Dr
Bloomington, MN 55435-5317
Phone (651) 502-2945

National Provider Directory

National Provider Directory

Locations

5221 Viking Dr
Bloomington, MN 55435
Phone (651) 502-2945

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1023941697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355317",
            "telephone_number": "651-502-2945",
            "fax_number": "612-230-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355317",
            "telephone_number": "651-502-2945",
            "fax_number": "612-230-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "SALENA",
        "authorized_official_middle_name": "LOLITA MAY",
        "authorized_official_title_or_position": "LEVEL 2",
        "authorized_official_telephone_number": "651-502-2945"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.