Fundamentals Autism Center LLC

NPI #1104619121 in Fridley, Minnesota

Provider Information

NPI Number
1104619121
Entity Type
Organization
Organization Name
Fundamentals Autism Center LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
May 22, 2025
Last Updated
May 22, 2025

Practice Location

Address
1250 MOORE LAKE DR E STE 200
ZIP Code
55432-5136
Phone
(206) 383-0514

Authorized Official

Name
HUSSEIN MOHAMED ABSHIR
Title
CEO
Phone
(206) 383-0514

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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