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General NPI Number Information
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NPI Number | 1083548077
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Entity Type | Organization
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Legal Business Name | BRILLIANT KIDS BEHAVIORAL THERAPY LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1130 S POWERLINE RD UNIT 101F
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8174
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Country | US
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Telephone | 754-201-6864
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 S POWERLINE RD UNIT 101F
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8174
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Country | US
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Telephone | 754-201-6864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL PICO PEREZ
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Credential |
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Telephone | 754-201-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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