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FUNDAMENTALS AUTISM CENTER LLC
NPI 1104619121
Early Intervention Provider Agency in Fridley, MN

Active since May 22, 2025
1250 MOORE LAKE DR E STE 200, FRIDLEY, MN 55432(206) 383-0514 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fundamentals Autism Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTALS AUTISM CENTER LLC (NPI 1104619121) is a healthcare organization registered as an early intervention provider agency in Fridley, Minnesota and active in the NPI registry since May 2025. The organization lists Hussein Mohamed Abshir, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104619121
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameFUNDAMENTALS AUTISM CENTER LLC
Location Address1250 MOORE LAKE DR E STE 200Fridley, MN 55432-5136
Mailing Address1250 Moore Lake Dr E Ste 200Fridley, MN 55432-5136 · (206) 383-0514
Phone(206) 383-0514
Organization SubpartNo
Authorized OfficialHussein Mohamed AbshirCeo · (206) 383-0514
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1104619121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
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.
1250 MOORE LAKE DR E STE 200, Fridley, MN 55432
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamentals Autism Center LLC's NPI number?

The NPI number for Fundamentals Autism Center LLC is 1104619121. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is Fundamentals Autism Center LLC located?

Fundamentals Autism Center LLC is located at 1250 Moore Lake Dr E Ste 200, Fridley, MN 55432. The listed phone number is (206) 383-0514.

What is Fundamentals Autism Center LLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Fundamentals Autism Center LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.