Provider Demographics
NPI:1144897281
Name:BREAKTHROUGH ABA LLC
Entity type:Organization
Organization Name:BREAKTHROUGH ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEBA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:647-280-2004
Mailing Address - Street 1:2500 WILCREST DR. SUITE 300 PMB 300-009
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042
Mailing Address - Country:US
Mailing Address - Phone:647-280-2004
Mailing Address - Fax:
Practice Address - Street 1:16410 CYPRESS ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1428
Practice Address - Country:US
Practice Address - Phone:281-899-0146
Practice Address - Fax:346-299-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty