Healthcare Provider Details

I. General information

NPI: 1053225300
Provider Name (Legal Business Name): BREAKTHROUGH BEHAVIOR ANALYSIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 NE STUART ST
JENSEN BEACH FL
34957-6147
US

IV. Provider business mailing address

675 NE STUART ST
JENSEN BEACH FL
34957-6147
US

V. Phone/Fax

Practice location:
  • Phone: 772-333-5426
  • Fax:
Mailing address:
  • Phone: 772-333-5426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA MESSINA
Title or Position: FOUNDER
Credential: M.S., BCBA
Phone: 772-333-5426