Provider Demographics
NPI:1013707298
Name:MINDS-AUTISM SERVICES
Entity type:Organization
Organization Name:MINDS-AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUENO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:408-204-5886
Mailing Address - Street 1:3753 RIDGEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-6820
Mailing Address - Country:US
Mailing Address - Phone:408-204-5886
Mailing Address - Fax:408-204-5886
Practice Address - Street 1:3753 RIDGEVIEW CT
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-6820
Practice Address - Country:US
Practice Address - Phone:408-204-5886
Practice Address - Fax:408-204-5886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health