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 |
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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 | (* (Not Available)) | Primary |
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