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NOVA ABA CLINIC LLC
NPI 1710876479
Clinic/Center - Developmental Disabilities in Eagan, MN

Active since June 30, 2025
4651 NICOLS RD STE 105, EAGAN, MN 55122(612) 799-9656 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nova Aba Clinic Llc NPPES

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

NOVA ABA CLINIC LLC (NPI 1710876479) is a healthcare organization registered as a developmental disabilities in Eagan, Minnesota and active in the NPI registry since June 2025. The organization lists Kowsarina Ahmed, Owner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1710876479
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNOVA ABA CLINIC LLC
Location Address4651 NICOLS RD STE 105Eagan, MN 55122-3336
Mailing Address4651 Nicols Rd Ste 105Eagan, MN 55122-3336 · (612) 799-9656
Phone(612) 799-9656
Organization SubpartNo
Authorized OfficialKowsarina AhmedOwner, Clinical Director · (612) 799-9656
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
✔ NPI 1710876479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
4651 NICOLS RD STE 105, Eagan, MN 55122
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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 Nova Aba Clinic LLC's NPI number?

The NPI number for Nova Aba Clinic LLC is 1710876479. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Nova Aba Clinic LLC located?

Nova Aba Clinic LLC is located at 4651 Nicols Rd Ste 105, Eagan, MN 55122. The listed phone number is (612) 799-9656.

What is Nova Aba Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Nova Aba Clinic LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.