NPIMap

Organization Active NPI

Neurolink Academy LLC

  • Behavior Analyst
  • Brooklyn Park, MN
National Provider Identifier
1306603196
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEUROLINK ACADEMY LLC
Practice address
7100 Northland Cir N Ste 201
Brooklyn Park, MN 55428-1500
Phone
(612) 464-4132
Fax
(612) 465-1874
NPI assigned
Feb 28, 2024
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Neurolink Academy Management
Title
(Director)
Phone
(612) 464-4132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

7100 Northland Cir N Ste 201
Brooklyn Park, MN 55428-1500

Mailing address

7100 Northland Cir N Ste 201
Brooklyn Park, MN 55428-1500
Phone (612) 464-4132

National Provider Directory

National Provider Directory

Locations

641 89th Ave NE
Blaine, MN 55434
Phone (612) 464-4132

7100 Northland Cir N
Minneapolis, MN 55428

7100 Northland Cir N
Ste 201
Minneapolis, MN 55428
Phone (612) 464-4132

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1306603196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 201",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "612-464-4132",
            "fax_number": "612-465-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 201",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "612-464-4132",
            "fax_number": "612-465-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLINK ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "MANAGEMENT",
        "authorized_official_first_name": "NEUROLINK",
        "authorized_official_middle_name": "ACADEMY",
        "authorized_official_title_or_position": "(DIRECTOR)",
        "authorized_official_telephone_number": "612-464-4132"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.