# MINNESOTA CHILDREN'S AUTISM CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Minnesota Children's autism center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386426278
- **Authorized official:** NAWAL ABDI MURSAL (THERAPIST)
- **Authorized official phone:** (360) 850-5277

## Contact information

- **Practice address:** 1901 W 80 1/2 ST UNIT 308, BLOOMINGTON, MN 55431-5107
- **Practice address phone:** (360) 850-5277
- **Mailing address:** 1901 W 80 1/2 ST UNIT 308, BLOOMINGTON, MN 55431-5107
- **Mailing address phone:** (360) 850-5277

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023