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

Lake Autism Center Inc

Organization Early Intervention Provider Agency · NPI 1639927239

Lake Autism Center Inc is an Early Intervention Provider Agency in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1330 Lagoon Ave Ste 425
Minneapolis, MN 55408-2885
Phone: (952) 200-3684
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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 number1639927239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amina Mohamed — Owner · (952) 200-3664
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address1330 Lagoon Ave Ste 425, Minneapolis, MN 55408-2885

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