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

Mindbridge Autism LLC

Organization Clinic/Center · NPI 1992514723

Mindbridge Autism LLC is a Clinic/Center in Lakeville, 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

20731 Holyoke Ave # 909
Lakeville, MN 55044-9825
Phone: (763) 528-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1992514723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamud Boru — Executive Director · (763) 528-0300
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address20731 Holyoke Ave # 909, Lakeville, MN 55044-9825

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