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BREAKTHROUGH BEHAVIOR, LLC 1750058749

Overview
Name: BREAKTHROUGH BEHAVIOR, LLC Specialty: Multi-Specialty Clinic/Center Type of Practice: Organization Provider/Org: BREAKTHROUGH BEHAVIOR, LLC Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Multi-Specialty. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: BREAKTHROUGH BEHAVIOR, LLC,1775 W STATE ROAD 434,LONGWOOD,FL,327505067,US Mailing Address: BREAKTHROUGH BEHAVIOR, LLC,2301 MAITLAND CENTER PKWY STE 240,MAITLAND,FL,327517415,US
Contact #
Practice location phone #: 4079196845 Practice location fax #: 4079654480 Mailing address Phone #: Mailing Address fax #: Authorized official Name/Telephone #:MAEGEN, CHRISTINE, PIERCE, FOUNDER CEO 4075744629
Misc
Date NPI was obtained: 08/26/2021 Last data data was updated: 08/26/2021 Insurances:

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