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General NPI Number Information
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NPI Number | 1295523801
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Entity Type | Organization
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Legal Business Name | MILESTONE ABA MD LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 400 E PRATT ST FL 8
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City | BALTIMORE
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State | MD
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Zip | 21202-3180
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Country | US
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Telephone | 718-400-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 1554 63RD ST
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City | BROOKLYN
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State | NY
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Zip | 11219-5418
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Country | US
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Telephone | 718-400-8679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSHE WALDMAN
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Credential |
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Telephone | 718-400-8679
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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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