Organization
BREAKTHROUGH FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLA CLARKE (CEO)
(347) 278-3608
Entity
Organization
Contact information
Practice address
1129 NORTHERN BLVD, MANHASSET, NY 11030-3045
(917) 295-0386
Mailing address
54 CONKLIN AVE, BROOKLYN, NY 11236-3720
(347) 278-3608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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