Alpha Autism Center LLC

NPI #1194563213 in Wayzata, Minnesota

Provider Information

NPI Number: 1194563213
Entity Type: Organization
Organization Name: Alpha Autism Center LLC
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Jul 15, 2024
Last Updated: Jul 15, 2024

Practice Location

Address: 600 TWELVE OAKS CENTER DR STE 648A
City: Wayzata
State: Minnesota
ZIP Code: 55391-4544
Phone: (651) 208-9451

Authorized Official

Name: ISADIN HUSSEIN
Title: OWNER
Phone: (651) 208-9451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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