Nova Autism Center LLC

NPI #1659193811 in Roseville, Minnesota

Provider Information

NPI Number: 1659193811
Entity Type: Organization
Organization Name: Nova Autism Center LLC
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 2355 HIGHWAY 36 W STE 400
City: Roseville
State: Minnesota
ZIP Code: 55113-3905
Phone: (612) 407-6160

Authorized Official

Name: JAFAR HUSSEN
Title: CEO
Phone: (612) 407-6160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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