Healthcare Provider Details

I. General information

NPI: 1083548077
Provider Name (Legal Business Name): BRILLIANT KIDS BEHAVIORAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 S POWERLINE RD UNIT 101F
DEERFIELD BEACH FL
33442-8174
US

IV. Provider business mailing address

1130 S POWERLINE RD UNIT 101F
DEERFIELD BEACH FL
33442-8174
US

V. Phone/Fax

Practice location:
  • Phone: 754-201-6864
  • Fax:
Mailing address:
  • Phone: 754-201-6864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL PICO PEREZ
Title or Position: OWNER
Credential:
Phone: 754-201-6864