Autism Advantage Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISM ADVANTAGE CENTER

Practice address

1111 112TH Ave NE
Blaine, MN 55434-0009

Phone

(651) 410-8833

NPI assigned

Dec 12, 2024

Organization subpart

No

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

Authorized official

Name

Suado A EsseNPI 1720767551

Title

Staff Manager

Phone

(651) 410-8833

Specialties & licenses 1

Addresses

Practitioners 1

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

• Suado Abdirahman Esse, DR

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1720767551
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1215744214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 112TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554340009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 112TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554340009",
            "telephone_number": "651-410-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ADVANTAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ESSE",
        "authorized_official_first_name": "SUADO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "STAFF MANAGER",
        "authorized_official_telephone_number": "651-410-8833"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Blaine, MN
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.