Goldenville Autism Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GOLDENVILLE AUTISM CENTER LLC

Practice address

1405 Silver Lake Rd NW Ste 16
New Brighton, MN 55112-9309

Phone

(612) 839-7087

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Bahju Salat

Title

Ceo/Owner

Phone

(612) 839-7087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1134914690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 16",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 16",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129309",
            "telephone_number": "612-839-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENVILLE AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SALAT",
        "authorized_official_first_name": "BAHJU",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-839-7087"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Givens
• Sydney Faith Schwitters Gjerde
• Alison Glodek
• Lensa Godana
• Richard John Goenner
• Jacqueline Christine Golob
• Jennifer Gonzalez Rodriguez
• Goodness and Mercy Health Services Inc.
• Kristine Marie Goulet, D.D.S.
• Grace Home Care LLC

• Early Intervention Provider Agency in New Brighton, MN
• Providers in New Brighton, 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 Apr 14, 2025; 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.