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General NPI Number Information
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NPI Number | 1053276469
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Entity Type | Organization
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Legal Business Name | MILESTONE BEHAVIORAL THERAPY L.L.C.
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 12017 SW 49TH ST
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City | MUSTANG
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State | OK
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Zip | 73064-6035
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Country | US
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Telephone | 405-687-0544
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Fax |
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Provider Business Mailing Address
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Address Line | 12017 SW 49TH ST
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City | MUSTANG
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State | OK
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Zip | 73064-6035
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Country | US
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Telephone | 405-687-0544
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | CHELSEA MARIE ADAY
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Credential | M.S., BCBA, LBA
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Telephone | 405-687-0544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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