| Breakthrough Foundations LLC | |
|
1129 Northern Blvd Manhasset NY 11030-3045 | |
| (917) 295-0386 | |
| Not Available |
| Full Name | Breakthrough Foundations LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1129 Northern Blvd, Manhasset, New York |
| Authorized Official Name and Position | Daniella Clarke (CEO) |
| Authorized Official Contact | 3472783608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Foundations LLC 54 Conklin Ave Brooklyn NY 11236-3720 Ph: (347) 278-3608 | Breakthrough Foundations LLC 1129 Northern Blvd Manhasset NY 11030-3045 Ph: (917) 295-0386 |
| NPI Number | 1659855930 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659855930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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