# IFTEEN AUTISM CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083411854
- **Authorized official:** RAHMO MOHAMED (CEO)
- **Authorized official phone:** (612) 434-8396

## Contact information

- **Practice address:** 121 WASHINGTON AVE N FL 2U2-08, MINNEAPOLIS, MN 55401-2503
- **Practice address phone:** (612) 434-8396
- **Mailing address:** 121 WASHINGTON AVE N FL 2U2-08, MINNEAPOLIS, MN 55401-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 03/07/2025