| Awareness Autism Network | |
|
5480 Blackberry Trl Apt 203 Inver Grove Heights MN 55076-1232 | |
| (612) 607-9569 | |
| Not Available |
| Full Name | Awareness Autism Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5480 Blackberry Trl Apt 203, Inver Grove Heights, Minnesota |
| Authorized Official Name and Position | Yahya Mohamed (OWNER) |
| Authorized Official Contact | 6126079569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awareness Autism Network 5480 Blackberry Trl Apt 203 Inver Grove Heights MN 55076-1232 Ph: (612) 607-9569 | Awareness Autism Network 5480 Blackberry Trl Apt 203 Inver Grove Heights MN 55076-1232 Ph: (612) 607-9569 |
| NPI Number | 1225844483 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225844483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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