Healthcare Provider Details

I. General information

NPI: 1861337040
Provider Name (Legal Business Name): BRILLIANCE BEHAVIOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7726 WINEGARD RD FL 2
ORLANDO FL
32809-7147
US

IV. Provider business mailing address

7726 WINEGARD RD FL 2 STE 53
ORLANDO FL
32809-7147
US

V. Phone/Fax

Practice location:
  • Phone: 305-772-2434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: REBECA L REYES PEREZ
Title or Position: OWNER
Credential:
Phone: 305-772-2434