NPI Code Details Logo

NPI 1447348172

NPI 1447348172 : AUTISM OPPORTUNITIES FOUNDATION : MINNETONKA, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447348172
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AUTISM OPPORTUNITIES FOUNDATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/10/2006
-----------------------------------------------------
    Last Update Date     |    03/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5860 BAKER RD 
-----------------------------------------------------
    City                 |    MINNETONKA
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55345-5903
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    952-767-4200
-----------------------------------------------------
    Fax                  |    952-767-4211
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5860 BAKER RD 
-----------------------------------------------------
    City                 |    MINNETONKA
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55345-5903
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    952-767-4200
-----------------------------------------------------
    Fax                  |    952-767-4211
-----------------------------------------------------

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

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TB0200X
-----------------------------------------------------
    Taxonomy Name        |    Cognitive & Behavioral Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.