MEDICARE: ARMS REACH AUTISM CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1356239123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMS REACH AUTISM CENTER LLC

Provider Business Mailing Address
First Line	:	7600 BASS LAKE RD STE 100H
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-3860
Country	:	US
Telephone Number	:	612-453-8956
Fax Number	:	651-554-6565

Provider Business Practice Location Address
First Line	:	7600 BASS LAKE RD STE 100H
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55428-3860
Country	:	US
Telephone Number	:	612-453-8956
Fax Number	:	651-554-6565

Authorized Official
Title or Position	:	CEO
Name	:	SAUD FARAH
Credential	:
Telephone Number	:	612-453-8956

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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