Twin Cities Autism Care LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TWIN CITIES AUTISM CARE LLC

Doing business as

Twin Cities Autism Care LLC

Practice address

1020 E 146TH St Ste 240
Burnsville, MN 55337-6756

Phone

(612) 477-2516

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

Kamaludin M Moalim

Title

Ceo

Phone

(612) 477-2516

Specialties & licenses 1

Addresses

Other names 1

• Twin Cities Autism Care LLC Doing business as

Locations

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1407605645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376756",
            "telephone_number": "612-477-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 146TH ST STE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376756",
            "telephone_number": "612-477-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES AUTISM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "MOALIM",
        "authorized_official_first_name": "KAMALUDIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-477-2516"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities Autism Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Tupy, OTR/L
• Maria Ann Turk, OTD
• Alex Turner, DPT
• Barbara Ann Turner, RN
• Turning Point Counseling, LLC
• Twin Cities Mental Rehab LLC
• Twin Cities Therapy Services
• Twins Home Care Service LLC
• Twins Home Care Service LLC
• Emily Ann Ufken, O.D.

• Developmental Disabilities Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.