SUNRIDGE AUTISM CENTER LLC NPI 1356238372

NPI Information

  • NPI: 1356238372
  • Provider Name: SUNRIDGE AUTISM CENTER LLC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 7525 MITCHELL RD STE 101
    EDEN PRAIRIE, MN
    ZIP 55344
  • Phone: (952) 465-5398

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NPI Details

SUNRIDGE AUTISM CENTER LLC is a developmental disabilities clinic center in Eden Prairie, MN. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). SUNRIDGE AUTISM CENTER LLC NPI is 1356238372. The provider is registered as an organization entity type.

The provider's business location address is:

7525 MITCHELL RD STE 101
EDEN PRAIRIE, MN
ZIP 55344-900
Phone: (952) 465-5398

The provider's authorized official is Nadia Ibrahim .
The authorized official title is Managing Member and has the following contact phone number (952) 465-5398.

The enumeration date for this NPI number is 6/23/2025 and was last updated on 6/23/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 11/21/2025

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