Organization
AUTISM BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRIZAK HUSSEIN (CEO)
(612) 462-8857
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 107, MINNEAPOLIS, MN 55422-4397
(612) 462-8857
(612) 206-8731
Mailing address
1710 DOUGLAS DR N STE 107, MINNEAPOLIS, MN 55422-4397
(612) 462-8857
(612) 206-8731
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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