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General NPI Number Information
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NPI Number | 1801564190
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Entity Type | Organization
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Legal Business Name | BRILLIANT BEHAVIOR LLC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 7570 NORMAN ROCKWELL LN STE 250
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City | LAS VEGAS
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State | NV
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Zip | 89143-6013
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Country | US
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Telephone | 702-848-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 7260 W AZURE DR STE 140-104
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City | LAS VEGAS
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State | NV
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Zip | 89130-7999
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Country | US
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Telephone | 702-848-2980
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KARISSA MORRISON
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Credential |
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Telephone | 702-848-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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