# AWAKEN ABA THERAPY LLC

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

## Provider details

- **NPI number:** 1326846064
- **Authorized official:** ABDIKAFI GELLE (OWNER)
- **Authorized official phone:** (612) 203-8746

## Contact information

- **Practice address:** 6063 HUDSON RD STE 228, WOODBURY, MN 55125-4465
- **Practice address phone:** (612) 203-8746
- **Mailing address:** 6063 HUDSON RD STE 228, WOODBURY, MN 55125-4465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

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