Provider Demographics
NPI:1891385381
Name:WARDHEER AUTISM CENTER INC
Entity Type:Organization
Organization Name:WARDHEER AUTISM CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-295-2126
Mailing Address - Street 1:2930 BLAISDELL AVE APT 227
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2325
Mailing Address - Country:US
Mailing Address - Phone:612-295-2126
Mailing Address - Fax:
Practice Address - Street 1:13679 56TH PL N STE 2951
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3057
Practice Address - Country:US
Practice Address - Phone:612-986-5013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency