Organization Active NPI

Brave ABA

  • Adolescent and Children Mental Health Clinic/Center
  • Bloomington, MN
National Provider Identifier
1184512907
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BRAVE ABA
Practice address
4470 W 78TH Street Cir
Bloomington, MN 55435-5408
Phone
(507) 319-1718
NPI assigned
Jun 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Halimo H RobleNPI 1760215636
Title
Manager
Phone
(507) 319-1718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4470 W 78TH Street Cir
Bloomington, MN 55435-5408

Mailing address

4470 W 78TH Street Cir
Bloomington, MN 55435-5408

National Provider Directory

National Provider Directory

Locations

4470 W 78th Street Cir
Bloomington, MN 55435
Phone (507) 319-1718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1184512907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 W 78TH STREET CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 W 78TH STREET CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355408",
            "telephone_number": "507-319-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "ROBLE",
        "authorized_official_first_name": "HALIMO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-319-1718"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.