Healthcare Provider Details

I. General information

NPI: 1336329614
Provider Name (Legal Business Name): MILESTONES TREATMENT & LEARNING CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 CHERRY ST STE 50
WINSTON SALEM NC
27105-2500
US

IV. Provider business mailing address

4401 CHERRY ST STE 50
WINSTON SALEM NC
27105-2500
US

V. Phone/Fax

Practice location:
  • Phone: 336-659-0806
  • Fax: 336-659-1054
Mailing address:
  • Phone: 336-659-0806
  • Fax: 336-659-1054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number829
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA CUMBO
Title or Position: SPEECH PATHOLOGIST/PRESIDENT
Credential: M.ED./CCC-SLP, MHA
Phone: 336-659-0806