FOUNTAIN AUTISM CENTER LLC NPI 1962196717

NPI Information

  • NPI: 1962196717
  • Provider Name: FOUNTAIN AUTISM CENTER LLC
  • Classification: Early Intervention Provider Agency - 252Y00000X
  • Entity Type: Organization
  • Address: 3628 PARK AVE
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (612) 636-8746

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NPI Details

FOUNTAIN AUTISM CENTER LLC is an early intervention provider agency in Minneapolis, MN. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. FOUNTAIN AUTISM CENTER LLC NPI is 1962196717. The provider is registered as an organization entity type.

The provider's business location address is:

3628 PARK AVE
MINNEAPOLIS, MN
ZIP 55407-533
Phone: (612) 636-8746

The provider's authorized official is Sacdiyo Abdi Ali .
The authorized official title is Ceo and has the following contact phone number (612) 636-8746.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.

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
1252Y00000XEarly Intervention Provider AgencyYes

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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