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General NPI Number Information
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NPI Number | 1780330548
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Entity Type | Organization
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Legal Business Name | MILESTONES AUTISM CENTER LLC
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 65800 VAN DYKE RD
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City | WASHINGTON
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State | MI
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Zip | 48095-2041
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Country | US
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Telephone | 586-945-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 65800 VAN DYKE RD
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City | WASHINGTON
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State | MI
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Zip | 48095-2041
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Country | US
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Telephone | 586-945-4449
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Fax |
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Authorized Official
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Title or Position | OWNER/BCBA
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Name | RACHEL C CURRIE
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Credential | MA, BCBA, LBA
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Telephone | 586-219-0535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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