Provider Demographics
NPI:1649469289
Name:AUTISM MATTERS, INC.
Entity type:Organization
Organization Name:AUTISM MATTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ESSLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-689-5385
Mailing Address - Street 1:2600 FERNBROOK LN N STE 138
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4752
Mailing Address - Country:US
Mailing Address - Phone:952-544-0349
Mailing Address - Fax:952-544-0372
Practice Address - Street 1:2600 FERNBROOK LN N STE 138
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-4752
Practice Address - Country:US
Practice Address - Phone:952-544-0349
Practice Address - Fax:952-544-0372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH DIMENSIONS REHABILITATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-19
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty