Individual provider Active NPI

Brittany Erin Streutker, BCBA

  • Behavior Analyst
  • Evansville, IN
National Provider Identifier
1598389322
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12112 Petersburg Rd
Evansville, IN 47725-8355
Phone
(317) 339-7649
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

12112 Petersburg Rd
Evansville, IN 47725-8355

Mailing address

12112 Petersburg Rd
Evansville, IN 47725-8355
Phone (317) 339-7649

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brilliantconnections2@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Connections, Inc Behavior Analyst CurrentSince Apr 30, 2023 Accepting new patients

Locations

2504 Waterbridge Way
Evansville, IN 47710
Phone (812) 424-4262

730 W Delaware St
Evansville, IN 47710
Phone (812) 646-2604

734 W Delaware St
Evansville, IN 47710

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1598389322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 PETERSBURG RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258355",
            "telephone_number": "317-339-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 PETERSBURG RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258355",
            "telephone_number": "317-339-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREUTKER",
        "first_name": "BRITTANY",
        "middle_name": "ERIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brilliantconnections2@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12112 Petersburg Rd",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477258355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.