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General NPI Number Information
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NPI Number | 1902499452
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Entity Type | Organization
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Legal Business Name | MILESTONES AUTISM CENTER INC.
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 3595 SAGAMORE PKWY N STE 5
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City | LAFAYETTE
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State | IN
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Zip | 47904-1095
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Country | US
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Telephone | 765-337-8689
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Fax |
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Provider Business Mailing Address
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Address Line | 3595 SAGAMORE PKWY N STE 5
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City | LAFAYETTE
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State | IN
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Zip | 47904-1095
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Country | US
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Telephone | 765-337-8689
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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 | SARAH SAXTON
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Credential | MA, BCBA
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Telephone | 765-337-8689
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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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