Active NPI
Brillant Minds ABA Inc
- Behavior Analyst
- Poquoson, VA
National Provider Identifier
1023766714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BRILLANT MINDS ABA INC
- Practice address
- 118 River Rd
Poquoson, VA 23662-1310 - Phone
- (757) 849-8170
- NPI assigned
- Mar 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shirley Louise Krieger, BCBA, LBA
- Title
- Board Certified Behavior Analyst
- Phone
- (757) 849-8170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
118 River Rd
Poquoson, VA 23662-1310
Mailing address
118 River Rd
Poquoson, VA 23662-1310
Phone (757) 849-8170
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Williamsburg, VA
- NPI 1720633233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647129600000",
"number": "1023766714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 RIVER RD",
"city": "POQUOSON",
"state": "VA",
"postal_code": "236621310",
"telephone_number": "757-849-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 RIVER RD",
"city": "POQUOSON",
"state": "VA",
"postal_code": "236621310",
"telephone_number": "757-849-8170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRILLANT MINDS ABA INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-13",
"last_updated": "2022-03-13",
"certification_date": "2022-03-13",
"status": "A",
"authorized_official_last_name": "KRIEGER",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
"authorized_official_telephone_number": "757-849-8170",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BCBA, LBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poquoson, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.