Provider Demographics
NPI:1376429084
Name:BREAKING LABELS ABA
Entity type:Organization
Organization Name:BREAKING LABELS ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUISA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:407-925-4743
Mailing Address - Street 1:206 HARROGATE PL
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4517
Mailing Address - Country:US
Mailing Address - Phone:407-925-4743
Mailing Address - Fax:407-610-6775
Practice Address - Street 1:206 HARROGATE PL
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4517
Practice Address - Country:US
Practice Address - Phone:407-925-4743
Practice Address - Fax:407-610-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health