NPIMap

Organization Active NPI

Brilliant Concepts Behavioral Associates

  • Behavior Analyst
  • Saint Cloud, FL
National Provider Identifier
1467810184
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRILLIANT CONCEPTS BEHAVIORAL ASSOCIATES
Practice address
1557 Pine Marsh Loop
Saint Cloud, FL 34771-7407
Phone
(407) 242-4320
Fax
(407) 960-3009
NPI assigned
Feb 9, 2016
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Wendy Zeballos, BCBA-DNPI 1952554750
Title
President
Phone
(407) 242-4320

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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1557 Pine Marsh Loop
Saint Cloud, FL 34771-7407

Mailing address

1557 Pine Marsh Loop
Saint Cloud, FL 34771-7407
Phone (407) 242-4320

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1467810184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 PINE MARSH LOOP",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717407",
            "telephone_number": "407-242-4320",
            "fax_number": "407-960-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 PINE MARSH LOOP",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717407",
            "telephone_number": "407-242-4320",
            "fax_number": "407-960-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT CONCEPTS BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ZEBALLOS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-242-4320",
        "authorized_official_credential": "BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.