Rising Stars Autism Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

RISING STARS AUTISM CENTER LLC

Practice address

1710 Douglas Dr N Ste 226S
Golden Valley, MN 55422-4370

Phone

(612) 217-3544

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Muna AhmedNPI 1447030465

Title

President

Phone

(612) 217-3544

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.

• Muna Asad Ahmed

  • Behavior Technician
  • Burnsville, MN
  • NPI 1447030465
  NPD Authorized official

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1932775343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 226S",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224370",
            "telephone_number": "612-217-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 226S",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224370",
            "telephone_number": "612-217-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-217-3544"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Phyllis Rich, MSW, LICSW
• Vanessa Richter, LICSW, MSW
• Katie Lyn Rickord, MA, LP, SEP
• Karen M Riddle, OTR L
• Erik Jeffrey. Rinke, M.A., LMFT.
• Rising Stars Center LLC
• Catherine Penelope Rivard-Sherman, PT
• Delgermaa Stacy Robinson
• Patrick Stephen Robinson, LMFT
• Carol Jean Roden, P.T.A.

• Early Intervention Provider Agency in Golden Valley, MN
• Providers in Golden Valley, 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 May 27, 2021; 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.