ABA Center of Minnesota

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ABA CENTER OF MINNESOTA

Practice address

1509 88TH Ave N
Brooklyn Park, MN 55444-1358

Phone

(612) 207-3736

Fax

(612) 500-4100

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Amir MussaNPI 1750150298

Title

Owner

Phone

(612) 207-3736

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.

• Amir Mussa

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1750150298
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1336971548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 88TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441358",
            "telephone_number": "612-207-3736",
            "fax_number": "612-500-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA CENTER OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "MUSSA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-207-3736"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Aug 23, 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.