Provider Demographics
NPI:1578251526
Name:BRILLIANT CONNECTIONS, INC
Entity Type:Organization
Organization Name:BRILLIANT CONNECTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:STREUTKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:317-339-7649
Mailing Address - Street 1:12112 PETERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-8355
Mailing Address - Country:US
Mailing Address - Phone:317-339-7649
Mailing Address - Fax:
Practice Address - Street 1:12112 PETERSBURG RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-8355
Practice Address - Country:US
Practice Address - Phone:317-339-7649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty