Organization
BRIGHT HORIZONS AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODA MOHAMED (CEO)
(952) 288-8190
Entity
Organization
Contact information
Practice address
8941 AZTEC DR STE B, EDEN PRAIRIE, MN 55347-1916
(952) 856-2439
Mailing address
8941 AZTEC DR STE B, EDEN PRAIRIE, MN 55347-1916
(952) 856-2439
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
04/05/2024
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