Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridge to Brilliance Therapy LLC

Organization Early Intervention Provider Agency · NPI 1114707700

Bridge to Brilliance Therapy LLC is an Early Intervention Provider Agency in Burnsville, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13740 Nicollet Ave
Burnsville, MN 55337-4003
Phone: (612) 987-3455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1114707700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anisa Ahmed — Owner · (612) 987-3455
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address7764 Oakridge Trl, Shakopee, MN 55379-5509

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