Organization
BREAKTHROUGH LEARNING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN LOSTAN BCBA (OWNER/CLINICAL DIRECTOR)
(973) 901-2099
Entity
Organization
Contact information
Practice address
1 HEATHER LN, BASKING RIDGE, NJ 07920-1349
(973) 901-2099
Mailing address
1 HEATHER LN, BASKING RIDGE, NJ 07920-1349
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
01/20/2017
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