Organization Active NPI

ABA Therapy LLC

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1215697016
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ABA THERAPY LLC
Practice address
505 E Grant St Ste 202
Minneapolis, MN 55404-1411
Phone
(612) 249-8907
Fax
(612) 249-8997
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Hanna MohamudNPI 1790442275
Title
Director
Phone
(612) 249-8907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

505 E Grant St Ste 202
Minneapolis, MN 55404-1411

Mailing address

505 E Grant St Ste 202
Minneapolis, MN 55404-1411
Phone (612) 249-8907

National Provider Directory

National Provider Directory

Locations

2415 Emerson Ave S
Ste B2
Minneapolis, MN 55405

505 E Grant St
Ste 202
Minneapolis, MN 55404
Phone (612) 249-8907

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1215697016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041411",
            "telephone_number": "612-249-8907",
            "fax_number": "612-249-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041411",
            "telephone_number": "612-249-8907",
            "fax_number": "612-249-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-249-8907"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.