Healthcare Provider Details

I. General information

NPI: 1760306641
Provider Name (Legal Business Name): MILESTONES ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CONTINENTAL DR
NEWARK DE
19713-4334
US

IV. Provider business mailing address

38 IRENE CT
LAKEWOOD NJ
08701-2988
US

V. Phone/Fax

Practice location:
  • Phone: 718-407-9755
  • Fax: 718-407-9755
Mailing address:
  • Phone: 718-407-9755
  • Fax: 718-407-9755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SHMUEL STEFANSKY
Title or Position: OWNER
Credential:
Phone: 718-407-9755