Nova ABA Clinic LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

NOVA ABA CLINIC LLC

Practice address

4651 Nicols Rd Ste 105
Eagan, MN 55122-3336

Phone

(612) 799-9656

NPI assigned

Jun 30, 2025

Organization subpart

No

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

Authorized official

Name

Kowsarina Ahmed, LPCCNPI 1104651801

Title

Owner, Clinical Director

Phone

(612) 799-9656

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.

• Kowsarina Ahmed

  • Mental Health Counselor
  • Eagan, MN
  • NPI 1104651801
  NPD Authorized official

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1710876479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD STE 105",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "612-799-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD STE 105",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223336",
            "telephone_number": "612-799-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ABA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KOWSARINA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-799-9656",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Eagan, MN
• Providers in Eagan, 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 Jun 30, 2025; 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.