Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fundamentals Autism Center LLC

Organization Early Intervention Provider Agency · NPI 1104619121

Fundamentals Autism Center LLC is an Early Intervention Provider Agency in Fridley, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 Moore Lake Dr E Ste 200
Fridley, MN 55432-5136
Phone: (206) 383-0514
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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 number1104619121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hussein Abshir — Ceo · (206) 383-0514
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address1250 Moore Lake Dr E Ste 200, Fridley, MN 55432-5136

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