# SKILLS - AUTISM THERAPY & PARENT ENRICHMENT

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

## Provider details

- **NPI number:** 1962881219
- **Authorized official:** MICHAEL FONDUNGALLAH ESQ (SECRETARY)
- **Authorized official phone:** (651) 482-0520

## Contact information

- **Practice address:** 2499 RICE ST STE 145, SAINT PAUL, MN 55113-3700
- **Practice address phone:** (651) 482-0520
- **Mailing address:** 2499 RICE ST STE 145, SAINT PAUL, MN 55113-3700
- **Mailing address phone:** (651) 482-0520

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 06/12/2015