# ALLIANCE AUTISM CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alliance Autism Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790350965
- **Authorized official:** FADUMO ALI (OWNER)
- **Authorized official phone:** (952) 229-5349

## Contact information

- **Practice address:** 12713 WELCOME LN, BURNSVILLE, MN 55337-3621
- **Practice address phone:** (612) 876-1163
- **Mailing address:** 1500 MCANDREWS RD W STE 100, BURNSVILLE, MN 55337-4475
- **Mailing address phone:** (612) 876-1163

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 07/31/2024