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General NPI Number Information
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NPI Number | 1902738966
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Entity Type | Organization
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Legal Business Name | MILESTONE BEHAVIOR THERAPY
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 602 BRAMHALL AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-2335
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Country | US
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Telephone | 347-746-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 831 BEDFORD AVE # 104
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City | BROOKLYN
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State | NY
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Zip | 11205-2801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIREL MEISELS
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Credential |
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Telephone | 347-746-7515
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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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