MEDICARE: AUTISM OPPORTUNITIES FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TB0200X	Cognitive & Behavioral Psychologist
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	103T00000X	Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	034R2LA	OTHER	MN	BCBS ASSESS, DX, TESTING
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	141D6FA	OTHER	MN	BCBS THERAPY BILLING
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447348172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUTISM OPPORTUNITIES FOUNDATION

Provider Business Mailing Address
First Line	:	5868 BAKER RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-5903
Country	:	US
Telephone Number	:	952-767-4200
Fax Number	:	952-767-4211

Provider Business Practice Location Address
First Line	:	5868 BAKER RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-5903
Country	:	US
Telephone Number	:	952-767-4200
Fax Number	:	952-767-4211

Authorized Official
Title or Position	:	REVENUE CYLCE MANAGER
Name	:	RENITA WARE
Credential	:
Telephone Number	:	952-767-4200

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	02/20/2026

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Directions to “AUTISM OPPORTUNITIES FOUNDATION ” Practice Location

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