Healthcare Provider Details

I. General information

NPI: 1740023902
Provider Name (Legal Business Name): ANALYTICAL MINDS AUTISM CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E ARMY TRAIL RD STE 204
BLOOMINGDALE IL
60108-2103
US

IV. Provider business mailing address

313 BUCKINGHAM CT
LOMBARD IL
60148-1667
US

V. Phone/Fax

Practice location:
  • Phone: 630-635-5096
  • Fax:
Mailing address:
  • Phone: 813-334-4273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ASHA BANU UTHUMANKANI KAJA MOHIDEEN
Title or Position: BCBA
Credential:
Phone: 813-334-4273