# CLEARBRIDGE ABA LLC

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

## Provider details

- **NPI number:** 1740090638
- **Authorized official:** ABDIRAHMAN FARAH (CEO)
- **Authorized official phone:** (612) 756-6714

## Contact information

- **Practice address:** 8609 LYNDALE AVE S STE 213, BLOOMINGTON, MN 55420-2754
- **Practice address phone:** (612) 756-6714
- **Mailing address:** 8609 LYNDALE AVE S STE 213, BLOOMINGTON, MN 55420-2754
- **Mailing address phone:** (612) 756-6714

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 01/13/2025