Soriya Grace Academy, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SORIYA GRACE ACADEMY, LLC

Doing business as

Soriya Grace Academy

Practice address

2032 Itasca Ave
Saint Paul, MN 55116-2511

Phone

(651) 410-3124

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darartu-Ayyantu Abdalla

Title

Owner

Phone

(651) 410-3124

Specialties & licenses 1

Addresses

Other names 1

• Soriya Grace Academy Doing business as

Practitioners 1

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.

• Darartu-Ayaantu Abdalla

  • Behavior Analyst
  • Brooklyn Center, MN
  • NPI 1346904596
  NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1033860739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 ITASCA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162511",
            "telephone_number": "651-410-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 ITASCA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162511",
            "telephone_number": "651-410-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORIYA GRACE ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "DARARTU-AYYANTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-410-3124"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soriya Grace Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas James Sorensen, DDS
• Lisa Sorenson-Woodhull, MSW, LCSW
• Roberta Sorenson, LPCC
• Terra Sorg, MSW, LICSW
• Veronica Soria, DPT
• Beau Sorrell, MSW, LICSW
• Sorum Chiropractic
• Scot L Sorum, D.C.
• Samantha Sorvaag
• Jessica Sosa, LICSW

• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.