Breakthrough Behavior Services LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BREAKTHROUGH BEHAVIOR SERVICES LLC

Practice address

537 Wahnetah Dr
Bound Brook, NJ 08805-1704

Phone

(732) 853-6969

NPI assigned

Apr 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cheryl Tibberts, BCBANPI 1366793713

Title

Owner

Phone

(732) 853-6969

Specialties & licenses 1

Addresses

Other names 1

• Breakthrough Behavior Services Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Tibberts, BCBA

  • Behavior Analyst
  • Manalapan, NJ
  • NPI 1366793713
  NPD Authorized official
• Davey Anthony Bumbaco

  • Behavior Technician
  • Bound Brook, NJ
  • NPI 1083436208
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1770224560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6853",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088070853",
            "telephone_number": "732-853-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 WAHNETAH DR",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051704",
            "telephone_number": "732-853-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "TIBBERTS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-853-6969",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.tibberts@hi5aba.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "537 Wahnetah Dr",
            "city": "Bound Brook",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088051704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Breakthrough Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Borough of Bound Brook
• Bound Brook Chiropractic Center P a
• Bound Brook Rescue Squad, Inc.
• Bound Brook School District
• Myasia Monai Bradshaw
• James Hamilton Bremner, DC
• Bebe Brezanin-Brusky, LCSW
• Brook Dental Associates PA
• Davey Anthony Bumbaco
• Doris Isolde Burns

• All providers in Bound Brook, NJ
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.