BREAKTHROUGH BEHAVIOR, LLC (NPI# 1306202940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306202940 |
| Entity Type | Organization |
| Organization Name | BREAKTHROUGH BEHAVIOR, LLC |
| Other Organization Name | BREAKTHROUGH BEHAVIOR |
| Practice Address |
644 Ferguson Dr Orlando FL 32805-1014 |
| Mailing Address |
2301 Maitland Center Pkwy Ste 240 Maitland FL 32751-7415 |
| Practice Telephone | 4075744629 |
| Practice Fax Number | 4075744480 |
| Mailing Telephone | 4075744629 |
| Mailing Fax Number | 4079654480 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MRS. MAEGEN CHRISTINE PIERCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4075744631 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Breakthrough Behavior | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12702 Science Dr, Orlando, FL 328263016 | 4075744629 | |
| 11 Hope Rd Ste 215, Stafford, VA 225547287 | 5402251008 | |
| 505 E Romie Ln Ste E, Salinas, CA 939014031 | 8312440582 | |
| 4445 Willard Ave, Chevy Chase, MD 208153690 | 5402251008 | |
| 1900 Garden Rd Ste 280, Monterey, CA 939405374 | 8312440582 | |
| 8701 Maitland Summit Blvd, Orlando, FL 328105915 | 4075744629 | 4079654480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407498959 | Breakthrough Behavior, LLC | Behavioral Analyst | 4445 Willard Ave Ste 600, Chevy Chase, MD 20815-3786 | 2019-10-16 |
| 1316422215 | Breakthrough Behavior, LLC | Speech-Language Pathologist | 8701 Maitland Summit Blvd, Orlando, FL 32810-5915 | 2018-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BREAKTHROUGH BEHAVIOR, LLC | 8701 Maitland Summit Blvd, Orlando, FL 32810-5915 |
| Street Address |
644 FERGUSON DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086326 | Michaela Scotchie | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2015-10-27 |
| 1609474964 | Tamiko N. Jones | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1518565878 | Jonelli Lydia Rosa | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1063010320 | Janee Blackman | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-10-09 |
| 1205443041 | Diana Alvarez | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1023625860 | Cassidy Behrens | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1831706670 | Precious Jewel Goins | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-25 |
| 1023623592 | Naishali Deally | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-11 |
| 1437763364 | Monica Michelle Aragon | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-08 |
| 1609480532 | Casey Michelle Perkins | Behavior Technician | 644 Ferguson Dr, Orlando, FL 32805-1014 | 2020-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
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| 1912514035 | Songbird Health Fl LLC | Behavioral Analyst | 1060 Woodcock Rd Ste 128, Orlando, FL 32803-3607 | 2020-09-24 |
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| 1952916413 | Autism Specialists LLC | Behavioral Analyst | 4118 Greenfern Dr, Orlando, FL 32810-1917 | 2020-09-11 |
| 1578199063 | Annette Victoria Elguezabal | Behavioral Analyst | 13538 Village Park Dr Ste 145, Orlando, FL 32837-3600 | 2020-03-17 |
| 1134754112 | Developmental & Behavioral Specialists, LLC | Behavioral Analyst | 7478 Crooked Lake Cir, Orlando, FL 32818-8345 | 2020-03-10 |
| 1780220814 | Beyond Borders Behavioral Supports, LLC | Behavioral Analyst | 14712 Chadbury Ct, Orlando, FL 32828-7508 | 2019-11-25 |
| 1235791211 | Jacqueline M Santiago | Behavioral Analyst | 5257 Bonairre Blvd, Orlando, FL 32812-5363 | 2019-07-01 |
| 1285295493 | Sarah V Clendenin Portalatin | Behavioral Analyst | 3955 Turow Ln, Orlando, FL 32828-6470 | 2019-06-27 |
| 1083275275 | Ramona Budhoo | Behavioral Analyst | 725 Battery Pointe Dr, Orlando, FL 32828-6648 | 2019-06-27 |
| 1700447976 | Farah K Pierre | Behavioral Analyst | 5461 Timberleaf Blvd Apt 701, Orlando, FL 32811-2176 | 2019-06-27 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.