Aurora Brilliance ABA Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AURORA BRILLIANCE ABA THERAPY LLC

Practice address

6640 Shady Oak Rd Ste 250F
Eden Prairie, MN 55344-7834

Phone

(612) 396-2040

NPI assigned

Sep 29, 2025

Organization subpart

No

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

Authorized official

Name

Sadiq Ahmed

Title

Owner

Phone

(612) 396-2040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1699649137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 250F",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 250F",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "612-396-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BRILLIANCE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SADIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-396-2040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denis S. Atkinson Jr., M.D.
• Diane Atsidakos
• Christopher Atwood, DC
• Lon J Augdahl, M.D.
• Stephanie Augustin, CNP
• Aurora Health
• Avia Home Health Care LLC
• Awakening Wholeness LLC
• Emmaculate Bih Awasom
• Marc T. Awobuluyi, M.D.

• Community/Behavioral Health Agency in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.