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NPI 1801759725

NPI 1801759725 : MILESTONE ABA NV LLC : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1801759725
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    Entity Type          |    Organization 
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    Legal Business Name  |    MILESTONE ABA NV LLC 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    871 CORONADO CENTER DR STE 200 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89052-3977
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    Country              |    US
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    Telephone            |    718-400-8679
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    Fax                  |    718-400-8679
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Provider Business Mailing Address
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    Address Line         |    5510 16TH AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11204-1806
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    Country              |    US
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    Telephone            |    718-400-8679
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    Fax                  |    718-400-8679
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Authorized Official
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    Title or Position    |    OFFICE ADMINSTRATOR
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    Name                 |     MAGDY  MAHMOUD 
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    Credential           |    
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    Telephone            |    973-370-4000
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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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