Organization
BREAKTHROUGH BEHAVIORAL SERVICES
Active
Other names
Breakthrough Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA D KYLE ME D, BCBA, LBA (CLINICAL DIRECTOR)
(843) 592-8582
Entity
Organization
Contact information
Practice address
221 TIBTON CIR, MYRTLE BEACH, SC 29588-1203
(843) 592-8582
Mailing address
221 TIBTON CIR, MYRTLE BEACH, SC 29588-1203
(843) 592-8582
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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