Brila Broadway
Behavior Technician in Dallas, TX. Individual provider (NPI-1).
NPI number1124846464
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1124846464
- Entity type
- Individual (NPI-1)
- Name
- Brila Broadway
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5510 Abrams Rd # 112Dallas, TX 75214-2000
Phone 469-906-6372
Mailing address
7500 San Felipe St Ste 990Houston, TX 77063-1708
Phone 866-610-0580 · Fax 866-611-1558
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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