Active NPI
Breakthrough Behavior Consultation, LLC
- Behavior Analyst
- Saint Johns, FL
National Provider Identifier
1215848171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BREAKTHROUGH BEHAVIOR CONSULTATION, LLC
- Practice address
- 822 S Lilac Loop
St Johns, FL 32259-1919 - Phone
- (316) 350-4017
- NPI assigned
- Sep 16, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Anne Edwardson, BCBA
- Title
- Owner
- Phone
- (321) 348-7435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
822 S Lilac Loop
St Johns, FL 32259-1919
Mailing address
822 S Lilac Loop
St Johns, FL 32259-1919
Phone (316) 350-4017
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1215848171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 S LILAC LOOP",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322591919",
"telephone_number": "316-350-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 S LILAC LOOP",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322591919",
"telephone_number": "316-350-4017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKTHROUGH BEHAVIOR CONSULTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "EDWARDSON",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-348-7435",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
- Kelly Anne Boyer
- Tyler Lee Boyer
- Jennifer Anne Boyle, PHARMD
- Lisa M Braasch, CST/CSFA
- Juanita Denae Bracy, PA-C, MPA, ATC, MED.
- Bright Future of North Florida, LLC (Priority Mental Health)
- Bright Smiles Pediatric Dentistry, PLLC
- Matthew Bright, D.M.D.
- Briea Anne Brinson, MS CCC SLP
- Joshua Jeffrey Broadway
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.