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Organization
ENLIGHT AUTISM CENTER LLC
Active
Organization
ENLIGHT AUTISM CENTER LLC
Active
Other names
Enlight Autism Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HALIMO YUSUF ISMAIL (CEO)
(612) 636-3824
Entity
Organization
Contact information
Practice address
7920 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 762-8133
Mailing address
7920 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/20/2024
Last updated
04/27/2026
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