Organization

Prime Autism Center Inc

Cognitive & Behavioral Psychologist in Minneapolis, MN(View on Map)

Legal Business Name

Prime Autism Center Inc

NPI Number

1396311577

NPI Type

Organization

Enumeration Date

05/28/2021

Specialties

(Taxonomies)

Code

103TB0200X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

322 W LAKE ST STE 207
322 W LAKE ST STE 207

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55408-5202
55408-5202

Country

US
US

Telephone Number

(612) 900-2854
(612) 900-2854

Authorized Official

Name

Shafici Ali

Title or Position

PRESIDENT

Telephone Number

(612) 900-2854

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2021

Provider Address

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