Provider Demographics
NPI:1790661403
Name:NEW BEGINNINGS AUTISM CENTER
Entity type:Organization
Organization Name:NEW BEGINNINGS AUTISM CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-343-9507
Mailing Address - Street 1:6385 OLD SHADY OAK RD STE 290
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7736
Mailing Address - Country:US
Mailing Address - Phone:720-333-0215
Mailing Address - Fax:
Practice Address - Street 1:6385 OLD SHADY OAK RD STE 290
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7736
Practice Address - Country:US
Practice Address - Phone:720-333-0215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency