Healthcare Provider Details

I. General information

NPI: 1306202940
Provider Name (Legal Business Name): BREAKTHROUGH BEHAVIOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GARDEN RD STE 280
MONTEREY CA
93940-5374
US

IV. Provider business mailing address

1900 GARDEN RD STE 280
MONTEREY CA
93940-5374
US

V. Phone/Fax

Practice location:
  • Phone: 831-244-0582
  • Fax:
Mailing address:
  • Phone: 831-244-0582
  • Fax: 831-465-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. MAEGEN PIERCE CHRISTINE PIERCE
Title or Position: OWNER
Credential: BCBA
Phone: 831-238-2575