| Alpha Autism Center Llc | |
|
600 Twelve Oaks Center Dr Ste 648a Wayzata MN 55391-4544 | |
| (651) 208-9451 | |
| Not Available |
| Full Name | Alpha Autism Center Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 600 Twelve Oaks Center Dr Ste 648a, Wayzata, Minnesota |
| Authorized Official Name and Position | Isadin Hussein (OWNER) |
| Authorized Official Contact | 6512089451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Autism Center Llc 600 Twelve Oaks Center Dr Ste 648a Wayzata MN 55391-4544 Ph: (651) 208-9451 | Alpha Autism Center Llc 600 Twelve Oaks Center Dr Ste 648a Wayzata MN 55391-4544 Ph: (651) 208-9451 |
| NPI Number | 1194563213 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194563213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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