AUTISM SIBS UNIVERSE NPI 1396319554

NPI Information

NPI: 1396319554
Provider Name: AUTISM SIBS UNIVERSE
Classification: Clinic/Center - 261QD1600X
Specialization: Developmental Disabilities
Entity Type: Organization
Address: 14107 54TH AVE N
PLYMOUTH, MN
ZIP 55446
Phone: (612) 396-7422

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NPI Details

AUTISM SIBS UNIVERSE is a developmental disabilities clinic center in Plymouth, 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.). AUTISM SIBS UNIVERSE NPI is 1396319554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14107 54TH AVE N
PLYMOUTH, MN
ZIP 55446-959
Phone: (612) 396-7422

The provider's authorized official is Indu Eati .
The authorized official title is Ceo and has the following contact phone number (612) 396-7422.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171400000X	Health and Wellness Coach		No
2	208D00000X	General Practice		No
3	221700000X	Art Therapist		No
4	2255A2300X	Specialist/Technologist	Athletic Trainer	No
5	251C00000X	Day Training, Developmentally Disabled Services		No
6	251E00000X	Home Health		No
7	251K00000X	Public Health or Welfare		No
8	251S00000X	Community/Behavioral Health		No
9	251V00000X	Voluntary or Charitable		No
10	253Z00000X	In Home Supportive Care		No
11	261QA3000X	Clinic/Center	Augmentative Communication	No
12	261QD1600X	Clinic/Center	Developmental Disabilities	Yes
13	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No

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: 3/30/2025

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