Organization
WESTERN AUTISM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIR WARDERE (OWNER)
(763) 306-6471
Entity
Organization
Contact information
Practice address
1865 OLD HUDSON RD # A17, SAINT PAUL, MN 55119-4308
(763) 306-6471
Mailing address
1865 OLD HUDSON RD # A17, SAINT PAUL, MN 55119-4308
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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