NPI Code Details Logo

NPI 1548074586

NPI 1548074586 : EILEEN MARY MILATA BCBA : ABILENE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548074586
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EILEEN MARY MILATA BCBA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/01/2025
-----------------------------------------------------
    Last Update Date     |    02/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3301 N 3RD ST 
-----------------------------------------------------
    City                 |    ABILENE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79603-7054
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-832-6727
-----------------------------------------------------
    Fax                  |    772-675-9100
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5433 SOUTHMOOR DR 
-----------------------------------------------------
    City                 |    ABILENE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79606-1204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-577-7230
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    7974
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.