OrganizationActive
Fundamentals Autism Center LLC
NPI 1104619121 · Early Intervention Provider Agency · Fridley, MN
Fundamentals Autism Center LLC is a Early Intervention Provider Agency organization in Fridley, MN (NPI 1104619121).
Provider details
- NPI number
- 1104619121
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Hussein Abshir, Ceo(206) 383-0514
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 Moore Lake Dr E Ste 200
Fridley, MN 55432-5136
Phone: (206) 383-0514
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Moore Lake Dr E Ste 200
Fridley, MN 55432-5136
Registry dates
- Enumerated
- 2025-05-22
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Fundamentals Autism Center LLC's NPI number?
- Fundamentals Autism Center LLC's National Provider Identifier (NPI) is 1104619121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamentals Autism Center LLC?
- Fundamentals Autism Center LLC is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Fundamentals Autism Center LLC located?
- Fundamentals Autism Center LLC's practice location on file with NPPES is 1250 Moore Lake Dr E Ste 200, Fridley, MN 55432-5136.
- What is Fundamentals Autism Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Fundamentals Autism Center LLC is (206) 383-0514.
- Who is the authorized official for Fundamentals Autism Center LLC?
- The authorized official listed on Fundamentals Autism Center LLC's NPPES record is Hussein Abshir, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamentals Autism Center LLC's NPI active?
- Yes — Fundamentals Autism Center LLC's NPI (1104619121) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.