Brilliant Minds ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BRILLIANT MINDS ABA LLC

Practice address

7465 Hightower Cir
Cumming, GA 30028-1374

Phone

(678) 208-9893

Fax

(435) 608-9376

NPI assigned

Apr 12, 2021

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mara F White, BCBANPI 1124614813

Title

Ceo, Owner

Phone

(678) 208-9893

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mara Felice White, BCBA

  • Behavior Analyst
  • Cumming, GA
  • NPI 1124614813
  NPD Authorized official
• Robin Renee Hogan

  • Behavior Technician
  • Cumming, GA
  • NPI 1568034569
  NPD
• Rebecca Rabun

  • Behavior Technician
  • Cumming, GA
  • NPI 1710653050
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1174103378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 HIGHTOWER CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300281374",
            "telephone_number": "678-208-9893",
            "fax_number": "435-608-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 HIGHTOWER CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300281374",
            "telephone_number": "678-208-9893",
            "fax_number": "435-608-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MINDS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "678-208-9893",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003246117",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Lynne Bridges, O.D.
• Jessica McKown Bridges, M.S., OTR/L
• Bright Path EMS LLC (Bright Path EMS)
• Bright Smiles Dental Center, P.C. (Bright Smiles)
• Robin A. Brill, PH.D.
• Hollie Rhodus Brineman, MS, OTR/L
• Britney Leblanc
• Charles L Britt Jr., MS, LPC, NCC, CPCS
• Christopher Jonathan Brogdon, LAPC
• Brandon Kyle Brooks, MS, OTR/L

• Behavior Analyst in Cumming, GA
• Providers in Cumming, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.