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

Prime Autism Center Inc

Organization Cognitive & Behavioral Psychologist · NPI 1396311577

Prime Autism Center Inc is a Cognitive & Behavioral Psychologist in Minneapolis, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
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

322 W Lake St Ste 207
Minneapolis, MN 55408-5202
Phone: (612) 900-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X

Record details

NPI number1396311577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shafici Ali — President · (612) 900-2854
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 26, 2021
Mailing address322 W Lake St Ste 207, Minneapolis, MN 55408-5202

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