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1760306641 NPI number — MILESTONES ABA LLC

NPI Number: 1760306641
Health Care Provider/Practitioner: MILESTONES ABA LLC

Information about “1760306641” NPI (MILESTONES ABA LLC) exists in 1760306641 in HTML format HTML  |  1760306641 in plain Text format TXT  |  1760306641 in PDF (Portable Document Format) PDF  |  1760306641 in an XML format XML  formats.

NPI Number : 1760306641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760306641",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MILESTONES ABA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "38 IRENE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-2988",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-407-9755",
    "MailingAddressFaxNumber": "718-407-9755",
    "FirstLinePracticeLocationAddress": "200 CONTINENTAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19713-4334",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-407-9755",
    "PracticeLocationAddressFaxNumber": "718-407-9755",
    "EnumerationDate": "08/05/2026",
    "LastUpdateDate": "08/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STEFANSKY",
    "AuthorizedOfficialFirstName": "SHMUEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-407-9755",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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