Fountain Autism Center LLC
Fountain Autism Center LLC is an Early Intervention Provider Agency in Minneapolis, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3628 Park AveMinneapolis, MN 55407-2533
Phone: (612) 636-8746
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1962196717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sacdiyo Ali — Ceo · (612) 636-8746 |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 3628 Park Ave, Minneapolis, MN 55407-2533 |
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