Organization
FUNDAMENTALS AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN MOHAMED ABSHIR (CEO)
(206) 383-0514
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 200, FRIDLEY, MN 55432-5136
(206) 383-0514
Mailing address
1250 MOORE LAKE DR E STE 200, FRIDLEY, MN 55432-5136
(206) 383-0514
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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