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PRIME AUTISM CENTER INC NPI 1396311577


NPI Information

NPI: 1396311577
Provider Name: PRIME AUTISM CENTER INC
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
322 W LAKE ST STE 207
MINNEAPOLIS, MN
ZIP 55408
Phone: (612) 900-2854
Get Directions

PRIME AUTISM CENTER INC is a cognitive and behavioral psychologist in Minneapolis, MN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. PRIME AUTISM CENTER INC NPI is 1396311577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

322 W LAKE ST STE 207
MINNEAPOLIS, MN
ZIP 55408-202
Phone: (612) 900-2854

The provider's authorized official is Shafici D Ali .
The authorized official title is President and has the following contact phone number (612) 900-2854.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 5/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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