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FOUNTAIN AUTISM CENTER LLC
NPI 1962196717
Early Intervention Provider Agency in Minneapolis, MN

Active since June 05, 2023
3628 PARK AVE, MINNEAPOLIS, MN 55407(612) 636-8746 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountain Autism Center Llc NPPES

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

FOUNTAIN AUTISM CENTER LLC (NPI 1962196717) is a healthcare organization registered as an early intervention provider agency in Minneapolis, Minnesota and active in the NPI registry since June 2023. The organization lists Sacdiyo Abdi Ali, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962196717
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameFOUNTAIN AUTISM CENTER LLC
Location Address3628 PARK AVEMinneapolis, MN 55407-2533
Mailing Address3628 Park AveMinneapolis, MN 55407-2533
Phone(612) 636-8746
Organization SubpartNo
Authorized OfficialSacdiyo Abdi AliCeo · (612) 636-8746
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1962196717 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.
3628 PARK AVE, Minneapolis, MN 55407
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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 Fountain Autism Center LLC's NPI number?

The NPI number for Fountain Autism Center LLC is 1962196717. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Fountain Autism Center LLC located?

Fountain Autism Center LLC is located at 3628 Park Ave, Minneapolis, MN 55407. The listed phone number is (612) 636-8746.

What is Fountain 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 Fountain Autism Center LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.