NPI 1487422275

Arise Autism Center

Organisation Early Intervention Provider Agency Saint Cloud, MN

Practice location

Address: 3842 Bear Ridge Ave S, Saint Cloud, MN 56301-6244
Phone: (320) 260-6718

Authorised official

Name: Bisharo Iman
Title: Owner
Phone: (320) 260-6718

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Developmental Disabilities Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD1600X

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Registry record

NPI: 1487422275
Entity type: Organization
NPI issued: 12 Dec 2023
Record last updated: 12 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.