Western Autism Services LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

WESTERN AUTISM SERVICES LLC

Practice address

1865 Old Hudson Rd # A17
Saint Paul, MN 55119-4308

Phone

(763) 306-6471

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By 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

Yasir WardereNPI 1215618699

Title

Owner

Phone

(763) 306-6471

Specialties & licenses 1

Addresses

Locations

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.

• Yasir Wardere

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1215618699
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1194544759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # A17",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # A17",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "763-306-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "WARDERE",
        "authorized_official_first_name": "YASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-306-6471"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn F. Westby, CRNA
• Emelia Westerberg
• Michael J Westerhaus, M.A., M.D.
• Margaret Rose Westerlund, MA LPCC
• Darcy Ann Westermann, MSW
• Bjorn C Westgard, MD
• Kathryn Westin, M.A., L.P.
• Westlake Orthotics and Prosthetics Inc
• Karen Leslie Westlund, RN
• Leonette P Westlund, PTA

• 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 Oct 9, 2024; 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.