Individual
ROBERT BRILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 HOMELAND CT, COLORADO SPRINGS, CO 80921-2885
(719) 487-5787
Mailing address
393 HOMELAND CT, COLORADO SPRINGS, CO 80921-2885
(719) 487-5787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24435
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13947497
CAQH
CO
Enumeration date
01/09/2017
Last updated
01/09/2017
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