Breakthrough Behavior

LBN: Breakthrough Behavior Llc
Breakthrough Behavior is an health care organization with primary practice located at 3831 W Vine St Ste 60 , Kissimmee FL 34741-4650. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Breakthrough Behavior Llc can be contacted via phone (407) 559-4854, or through Pierce, Maegen Christine via phone (407) 574-4629.

Contact Information

Primary practice address
3831 W Vine St Ste 60 Kissimmee FL 34741-4650
Phone: (407) 559-4854
Fax: (407) 965-4480
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Maegen Christine MA, BCBA, LBA
Phone: (407) 574-4629

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1033887609
LBN Legal business name Breakthrough Behavior Llc
DBA Doing business as Breakthrough Behavior
Authorized official Pierce, Maegen Christine MA, BCBA, LBA
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2021
Last updated May 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033887609 NPPES
Florida MEDICAID 107474802

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