| Breakthrough Behavior Consultation, LLC | |
|
822 S Lilac Loop St Johns FL 32259-1919 | |
| (316) 350-4017 | |
| Not Available |
| Full Name | Breakthrough Behavior Consultation, LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 822 S Lilac Loop, St Johns, Florida |
| Authorized Official Name and Position | Erica Anne Edwardson (OWNER) |
| Authorized Official Contact | 3213487435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Behavior Consultation, LLC 822 S Lilac Loop St Johns FL 32259-1919 Ph: (316) 350-4017 | Breakthrough Behavior Consultation, LLC 822 S Lilac Loop St Johns FL 32259-1919 Ph: (316) 350-4017 |
| NPI Number | 1215848171 |
|---|---|
| Provider Enumeration Date | 09/16/2026 |
| Last Update Date | 09/23/2026 |
| Certification Date | 09/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215848171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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