OrganizationActive
First Choice Autism Services Inc
NPI 1609564822 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1609564822
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Khadra Mohamud, Owner(952) 657-9064
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1913 Broadway St Ne
Minneapolis, MN 55413-2627
Phone: (952) 657-9064
Approximate (ZIP-level) locationGet directions
Mailing address
1913 Broadway St Ne
Minneapolis, MN 55413-2627
Registry dates
- Enumerated
- 2023-04-26
- Last updated
- 2023-05-10
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.