Healthcare Provider Details

I. General information

NPI: 1447348172
Provider Name (Legal Business Name): AUTISM OPPORTUNITIES FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5868 BAKER RD
MINNETONKA MN
55345-5903
US

IV. Provider business mailing address

5868 BAKER RD
MINNETONKA MN
55345-5903
US

V. Phone/Fax

Practice location:
  • Phone: 952-767-4200
  • Fax: 952-767-4211
Mailing address:
  • Phone: 952-767-4200
  • Fax: 952-767-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RENITA WARE
Title or Position: REVENUE CYLCE MANAGER
Credential:
Phone: 952-767-4200