Male or Other

Robert Brill

Behavioral Analyst in Colorado Springs, CO(View on Map)

Full Name

Robert Brill

NPI Number

1376089847

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/09/2017

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

Colorado

License Number

1-16-24435

Contact
Information

Purpose

Mailing
Location

Address

393 HOMELAND CT
393 HOMELAND CT

City

Colorado Springs
Colorado Springs

State

CO
CO

Postal Code

80921-2885
80921-2885

Country

US
US

Telephone Number

(719) 487-5787
(719) 487-5787

Identifiers

Identifier

13947497

Identifier State

CO

Identifier Issuer

CAQH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/09/2017

Provider Address

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