Provider Demographics
NPI:1679343685
Name:BREAKING BARRIERS SERVICES, LLC
Entity Type:Organization
Organization Name:BREAKING BARRIERS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-362-4889
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-0214
Mailing Address - Country:US
Mailing Address - Phone:201-362-4889
Mailing Address - Fax:
Practice Address - Street 1:82 FOREST RD
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-1805
Practice Address - Country:US
Practice Address - Phone:201-362-4889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management