Anoka Autism Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ANOKA AUTISM CENTER LLC

Practice address

1710 Douglas Dr N Ste 225E
Golden Valley, MN 55422-4363

Phone

(612) 417-5999

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Zuhaib Abdullahi

Title

Owner

Phone

(612) 999-5144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1972216174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 UNIVERSITY AVE W STE 300E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 225E",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224363",
            "telephone_number": "612-417-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOKA AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "ABDULLAHI",
        "authorized_official_first_name": "ZUHAIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-999-5144"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.