Bright Star Autism Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIGHT STAR AUTISM CENTER LLC

Practice address

121 Washington Ave N FL 2 Unit 207
Minneapolis, MN 55401

Phone

(612) 275-1492

NPI assigned

Feb 25, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Ali Awdeer

Title

Owner

Phone

(612) 275-1492

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1104623461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WASHINGTON AVE N FL 2 UNIT 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "612-275-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WASHINGTON AVE N FL 2 UNIT 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "612-275-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT STAR AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "AWDEER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-275-1492"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Minds Therapeutic Services
• Bright Path Consultancy
• Bright Path Inc
• Bright Point Care
• Bright Smiles Community Clinic & Dental
• Bright Support Services LLC
• Bright Water Elementary
• Bright Water Montessori School
• Stacy Bright
• Brightcare Services Inc

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.