Autism Spectrum Disorder Program – Early Intervention Provider Agency, NPI 1174856017

Autism Spectrum Disorder Program is a healthcare provider. based in Minneapolis, Minnesota. specializing in Early Intervention Provider Agency. The organization holds a License No. 365664 (MN). The NPI Number for Autism Spectrum Disorder Program is 1174856017

Main info

Organization
Name
Autism Spectrum Disorder Program
NPI
1174856017
Phone
(612) 276-1535
Address
3333 N 4TH ST
Authorized Official
DR. KATE U ONYENEHO CEO ASD
Enumeration Date
10 September 2009
Last Update Date
10 September 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Autism Spectrum Disorder Program

  • 3333, North 4th Street, McKinley, Minneapolis, Hennepin County, Minnesota, 55412, United States

    MINNEAPOLIS, MN 554122615

    Phone: (612) 276-1535

    Type: Location

  • 11712, Cartier Avenue South, Burnsville, Dakota County, Minnesota, 55337, United States

    BURNSVILLE, MN 553373227

    Phone: (952) 356-2953

    Fax: (612) 276-1535

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55412)

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Frequently asked questions

Can I cross-check Autism Spectrum Disorder Program using NPI 1174856017?
NPI 1174856017 belongs to Autism Spectrum Disorder Program; compare other details if you need extra assurance.
Is Autism Spectrum Disorder Program shown as active in public data?
Registry records indicate Autism Spectrum Disorder Program maintains an active NPI.
What area of care is associated with Autism Spectrum Disorder Program?
Autism Spectrum Disorder Program's record emphasizes Early Intervention Provider Agency. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Autism Spectrum Disorder Program?
Travel planning: use Minneapolis, Minnesota as the reference point for Autism Spectrum Disorder Program, then confirm.
When was this NPI issued?
Enumeration for Autism Spectrum Disorder Program is noted as September 10, 2009 where the registry provides it.

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