Provider Demographics
NPI:1427662543
Name:AUTISM CENTER FOR EDUCATION LLC
Entity type:Organization
Organization Name:AUTISM CENTER FOR EDUCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HODAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUALEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-594-4467
Mailing Address - Street 1:2021 E HENNEPIN AVE STE 187
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2187
Mailing Address - Country:US
Mailing Address - Phone:952-594-4467
Mailing Address - Fax:
Practice Address - Street 1:2021 E HENNEPIN AVE STE 187
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2187
Practice Address - Country:US
Practice Address - Phone:952-594-4467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health