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NPI Code Detail

MEDICARE: BRILLIANT CONNECTIONS, INC

MEDICARE: BRILLIANT CONNECTIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1578251526
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRILLIANT CONNECTIONS, INC
Provider Business Mailing Address
First Line : 730 W DELAWARE ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1630
Country : US
Telephone Number : 812-646-2604
Fax Number : 812-591-7206
Provider Business Practice Location Address
First Line : 730 W DELAWARE ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1630
Country : US
Telephone Number : 812-646-2604
Fax Number : 812-591-7206
Authorized Official
Title or Position : PRESIDENT
Name : BRITTANY ERIN STREUTKER
Credential : BCBA
Telephone Number : 317-339-7649
Provider Enumeration Date : 04/27/2023
Last Update Date : 06/10/2026

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Directions to “BRILLIANT CONNECTIONS, INC ” Practice Location

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