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Organization

PROACTIVE AUTISM THERAPY

Active
Other names
Proactive Autism Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ABDI HUSSEIN (OWNER/MANAGER)
(612) 384-6156
Entity
Organization

Contact information

Practice address
1712 129TH AVE NE, BLAINE, MN 55449-6264
(612) 384-6156
Mailing address
1712 129TH AVE NE, BLAINE, MN 55449-6264
(612) 384-6156

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/06/2024
Last updated
12/06/2024
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