Active NPI
Amelia Lynn Brillhart, BCBA
- Behavior Analyst
- Virginia Beach, VA
National Provider Identifier
1861809840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000341
- Practice address
- 2009 Blackwell CT
Virginia Beach, VA 23464-8222 - Phone
- (757) 567-0843
- NPI assigned
- Jul 22, 2014
- Last updated
- May 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008117 | VA | |
| Behavior Analyst | 103K00000X | 0133000341 | VA | Primary |
Addresses
Primary practice location
2009 Blackwell CT
Virginia Beach, VA 23464-8222
Mailing address
2009 Blackwell CT
Virginia Beach, VA 23464-8222
Phone (757) 567-0843
Other practice location 1
240 Mustang Trl Ste 5
Virginia Beach, VA 23452-7516
Phone (757) 799-9951
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seashore Chiropractic LLC | Past | Accepting new patients | |
| Innovative Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Innovative Therapy
- Speech-Language Pathologist
- Virginia Beach, VA
- NPI 1982208781
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1861809840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 BLACKWELL CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648222",
"telephone_number": "757-567-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 BLACKWELL CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648222",
"telephone_number": "757-567-0843"
}
],
"practiceLocations": [
{
"address_1": "240 Mustang Trl Ste 5",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234527516",
"country_code": "US",
"telephone_number": "757-799-9951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRILLHART",
"first_name": "AMELIA",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008117",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.