OrganizationActive
Sunridge Autism Center LLC
NPI 1356238372 · Developmental Disabilities Clinic/Center · Eden Prairie, MN
Provider details
- NPI number
- 1356238372
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nadia Ibrahim, Managing Member(952) 465-5398
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7525 Mitchell Rd Ste 101
Eden Prairie, MN 55344-1900
Phone: (952) 465-5398
Approximate (ZIP-level) locationGet directions
Mailing address
7525 Mitchell Rd Ste 101
Eden Prairie, MN 55344-1900
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.