MEDICARE: INSIGHT ABA SERVICES

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	:	1568350387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT ABA SERVICES

Provider Business Mailing Address
First Line	:	1200 WASHINGTON AVE S STE 390G
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1295
Country	:	US
Telephone Number	:	614-966-0004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 WASHINGTON AVE S STE 390G
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1295
Country	:	US
Telephone Number	:	614-966-0004
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MUDATHIR A KADIR
Credential	:
Telephone Number	:	614-966-0004

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

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Directions to “INSIGHT ABA SERVICES ” Practice Location

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