Healthcare Provider Details

I. General information

NPI: 1780330548
Provider Name (Legal Business Name): MILESTONES AUTISM CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65800 VAN DYKE RD
WASHINGTON MI
48095-2041
US

IV. Provider business mailing address

65800 VAN DYKE RD
WASHINGTON MI
48095-2041
US

V. Phone/Fax

Practice location:
  • Phone: 586-945-4449
  • Fax:
Mailing address:
  • Phone: 586-945-4449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL C CURRIE
Title or Position: OWNER/BCBA
Credential: MA, BCBA, LBA
Phone: 586-219-0535