| Breakthrough Behavior Llc | |
|
1775 W State Road 434 Longwood FL 32750-5067 | |
| (407) 919-6845 | |
| (407) 965-4480 |
| Full Name | Breakthrough Behavior Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1775 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Maegen Christine Pierce (FOUNDER CEO) |
| Authorized Official Contact | 4075744629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Behavior Llc 2301 Maitland Center Pkwy Ste 240 Maitland FL 32751-7415 Ph: () - | Breakthrough Behavior Llc 1775 W State Road 434 Longwood FL 32750-5067 Ph: (407) 919-6845 |
| NPI Number | 1750058749 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750058749 | NPI | - | NPPES |
| 107474803 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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