| First Choice Autism Services Inc | |
|
1913 Broadway St Ne Minneapolis MN 55413-2627 | |
| (952) 657-9064 | |
| Not Available |
| Full Name | First Choice Autism Services Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1913 Broadway St Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Khadra Mohamud (OWNER) |
| Authorized Official Contact | 9526579064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Autism Services Inc 1913 Broadway St Ne Minneapolis MN 55413-2627 Ph: (952) 657-9064 | First Choice Autism Services Inc 1913 Broadway St Ne Minneapolis MN 55413-2627 Ph: (952) 657-9064 |
| NPI Number | 1609564822 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 05/10/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609564822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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