Organization · NPI-2

Autism Sibs Universe

Clinic/Center, Developmental Disabilities · Plymouth, MN

NPI number1396319554

StatusActive

Last updated in NPPESMay 13, 2021

Details

NPI: 1396319554
Entity type: Organization (NPI-2)
Legal business name: Autism Sibs Universe
Organization subpart: No
Enumeration date: May 13, 2021
Certification date: May 12, 2021
Last updated: May 13, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QD1600X	Clinic/Center, Developmental Disabilities	–	–	Yes
171400000X	Health & Wellness Coach	–	–
208D00000X	General Practice	–	–
221700000X	Art Therapist	–	–
2255A2300X	Specialist/Technologist, Athletic Trainer	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
251K00000X	Public Health or Welfare	–	–
251S00000X	Community/Behavioral Health	–	–
251V00000X	Voluntary or Charitable	–	–
253Z00000X	In Home Supportive Care	–	–
261QA3000X	Clinic/Center, Augmentative Communication	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–

Practice location

14107 54th Ave N
Plymouth, MN 55446-1959

Phone 612-396-7422

Mailing address

19020 44th Ave N
Plymouth, MN 55446-2503

Phone 612-396-7422

Authorized official

Indu Eati
Ceo
6123967422

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