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Deactivated NPI 1568130136 Deactivated / Inactive NPI

Breakthrough Behavior, Llc

Clinic/Center - Multi-Specialty • Riverview, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Breakthrough Behavior, Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date August 31, 2021

NPI Deactivation Date January 13, 2026

Total Practice Duration ~5 Years of Practice (2021 – 2026)

About Breakthrough Behavior, Llc NPI 1568130136 Summary

Breakthrough Behavior, Llc was a registered healthcare organization specializing in Clinic/Center - Multi-Specialty located in Riverview, FL. Operating from its primary practice location at 10817 BLOOMINGDALE AVE, the facility provided medical services under NPI record 1568130136 prior to official deactivation on January 13, 2026.

Administrative records indicate Maegen Pierce as the registered authorized official.

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

10817 Bloomingdale Ave

Riverview, FL 335783616

Telephone 8133241342

Fax 4079654480

Authorized Official Information

Authorized Contact Name

Maegen Pierce

Official Telephone

4075744629

Facility Classifications & Specialties

Clinic/Center - Multi-Specialty Primary Taxonomy

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked

Jennifer Jacks NPI 1013679679

Behavior Technician

Riverview, FL

View Practitioner Profile →

Jada Pagan , RBT NPI 1134874423

Behavior Technician

Riverview, FL

View Practitioner Profile →

Faith Wingo , BCBA NPI 1144678855

Behavior Analyst

Riverview, FL

View Practitioner Profile →

Saron-Rose Pierre , RBT NPI 1164193264

Behavior Technician

Riverview, FL

View Practitioner Profile →

Madeline Clausell NPI 1215695523

Behavior Technician

Riverview, FL

View Practitioner Profile →

Darcy Baird NPI 1225794860

Behavior Technician

Riverview, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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NPI Profile Deactivated January 13, 2026

Record deactivated on January 13, 2026

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Organization / Clinic Name Updated May 03, 2022

Operating as BREAKTHROUGH BEHAVIOR LLC

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NPI Profile Active August 31, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2021

Registered at 10817 BLOOMINGDALE AVE, RIVERVIEW, FL 335783616 (Tel: 8133241342)

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Updated Business Mailing Address August 31, 2021

Registered at 2301 MAITLAND CENTER PKWY STE 240, MAITLAND, FL 327517415

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Organization / Clinic Name Updated August 31, 2021

Operating as BREAKTHROUGH BEHAVIOR, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Clinic/Center

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Initial NPI Registration & Enumeration August 31, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1568130136

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 31, 2021

Last Update: August 31, 2021

Deactivation Date: January 13, 2026

Update or Correct Listing

Mailing Address

2301 Maitland Center Pkwy Ste 240

Maitland, FL 327517415

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.