Mindbridge Autism LLC

NPI #1992514723 in Lakeville, Minnesota

Provider Information

NPI Number: 1992514723
Entity Type: Organization
Organization Name: Mindbridge Autism LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 20731 HOLYOKE AVE # 909
City: Lakeville
State: Minnesota
ZIP Code: 55044-9825
Phone: (763) 528-0300

Authorized Official

Name: MOHAMUD BORU
Title: EXECUTIVE DIRECTOR
Phone: (763) 528-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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