Organization
BREAKING LABELS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LUISA BCBA (OWNER)
(407) 925-4743
Entity
Organization
Contact information
Practice address
206 HARROGATE PL, LONGWOOD, FL 32779-4517
(407) 925-4743
(407) 610-6775
Mailing address
206 HARROGATE PL, LONGWOOD, FL 32779-4517
(407) 925-4743
(407) 610-6775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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