Bright Path Autism Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIGHT PATH AUTISM CENTER LLC

Practice address

7101 York Ave S Ste 343
Edina, MN 55435-4408

Phone

(612) 461-2900

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Abdiaziz Warsame Farah

Title

Owner

Phone

(612) 461-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1659197200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 343",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354408",
            "telephone_number": "612-461-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 343",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354408",
            "telephone_number": "612-461-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "WARSAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-461-2900"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge Point Home Health LLC
• Bridging Mental Health
• Lawrence John Briggs, MD
• Bright Horizon Therapy Center Inc
• Bright Mind Services
• Brimhall Edina
• Jennifer Vu Brion, OTR/L
• Bristol Prime Care LLC
• Roseina Britton, PH.D., LPC, NCC
• Kelly Brock, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.