Provider Demographics
NPI:1740023902
Name:ANALYTICAL MINDS AUTISM CARE INC
Entity type:Organization
Organization Name:ANALYTICAL MINDS AUTISM CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ASHA BANU
Authorized Official - Middle Name:
Authorized Official - Last Name:UTHUMANKANI KAJA MOHIDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-334-4273
Mailing Address - Street 1:313 BUCKINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-1667
Mailing Address - Country:US
Mailing Address - Phone:813-334-4273
Mailing Address - Fax:
Practice Address - Street 1:313 BUCKINGHAM CT
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-1667
Practice Address - Country:US
Practice Address - Phone:813-334-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty