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Active NPI 1487355723 Organization (Entity Type 2)

Advance Child Behavior Solution

Community/Behavioral Health • Saint Cloud, MN

About Advance Child Behavior Solution NPI 1487355723 Summary

Advance Child Behavior Solution is a verified healthcare organization specializing in Community/Behavioral Health operating in Saint Cloud, MN. Located at 2015 27TH ST SE APT 105, this facility provides patient care and medical services under National Provider Identifier (NPI) 1487355723.

Administrative operations and authorized compliance are overseen by Kedir Ahmed (Owner).

Facility Location & Contact Primary Location

Facility Address

2015 27th St Se Apt 105

Saint Cloud, MN 563048587

Telephone 6128143567

Authorized Official Information

Authorized Contact Name

Kedir Ahmed

Title / Role

Owner

Official Telephone

6128143567

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 14, 2023

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2023

Registered at 2015 27TH ST SE APT 105, SAINT CLOUD, MN 563048587 (Tel: 6128143567)

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Updated Business Mailing Address March 14, 2023

Registered at 2015 27TH ST SE APT 105, SAINT CLOUD, MN 563048587 (Tel: 6128143567)

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Organization / Clinic Name Updated March 14, 2023

Operating as ADVANCE CHILD BEHAVIOR SOLUTION

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2023

Community/Behavioral Health

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Initial NPI Registration & Enumeration March 14, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1487355723
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 14, 2023
Last Update: March 14, 2023

Mailing Address

2015 27th St Se Apt 105

Saint Cloud, MN 563048587

Phone: 6128143567

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.