Provider Demographics
NPI:1902332083
Name:BRILLBEHAVIOR ANALYSTS, LLC
Entity Type:Organization
Organization Name:BRILLBEHAVIOR ANALYSTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:BRILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:719-487-5787
Mailing Address - Street 1:393 HOMELAND CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2885
Mailing Address - Country:US
Mailing Address - Phone:719-487-5787
Mailing Address - Fax:
Practice Address - Street 1:393 HOMELAND CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2885
Practice Address - Country:US
Practice Address - Phone:719-487-5787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COBACB288825103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty