Brilliant Futures, Llc | |
396 E Southwest Pkwy 824 Lewisville TX 75067-6391 | |
(469) 631-4673 | |
Not Available |
Full Name | Brilliant Futures, Llc |
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Speciality | Behavior Analyst |
Location | 396 E Southwest Pkwy, Lewisville, Texas |
Authorized Official Name and Position | Ava Power (OWNER) |
Authorized Official Contact | 4696314673 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brilliant Futures, Llc 396 E Southwest Pkwy 824 Lewisville TX 75067-6391 Ph: (469) 631-4673 | Brilliant Futures, Llc 396 E Southwest Pkwy 824 Lewisville TX 75067-6391 Ph: (469) 631-4673 |
NPI Number | 1366882086 |
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Provider Enumeration Date | 06/26/2013 |
Last Update Date | 04/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366882086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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