AUTISTIC PRESTIGE INC NPI 1801678214

NPI Information

  • NPI: 1801678214
  • Provider Name: AUTISTIC PRESTIGE INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2355 HIGHWAY 36 W STE 400
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 447-3671

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NPI Details

AUTISTIC PRESTIGE INC is a clinic center in Roseville, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AUTISTIC PRESTIGE INC NPI is 1801678214. The provider is registered as an organization entity type.

The provider's business location address is:

2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN
ZIP 55113-905
Phone: (651) 447-3671

The provider's authorized official is Ikran Ibrahim .
The authorized official title is Owner and has the following contact phone number (651) 447-3671.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 10/19/2023.

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
1261Q00000XClinic/CenterYes

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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