Autism Center of Minnesota LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

AUTISM CENTER OF MINNESOTA LLC

Doing business as

Autism Center of Minnesota

Practice address

3940 Minnehaha Ave Ste B
Minneapolis, MN 55406-3232

Phone

(701) 215-0056

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ifrah Esse

Title

Operator

Phone

(701) 215-0056

Specialties & licenses 1

Addresses

Other names 1

• Autism Center of Minnesota Doing business as

Locations

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1881436673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 MINNEHAHA AVE STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232",
            "telephone_number": "701-215-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 MINNEHAHA AVE STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232",
            "telephone_number": "701-215-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CENTER OF MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "ESSE",
        "authorized_official_first_name": "IFRAH",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "701-215-0056"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Center of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.