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NPI Code Detail

MEDICARE: MRS. SINEAD KATHLEEN MILETIC M.S., BCBA

MEDICARE:  MRS. SINEAD KATHLEEN MILETIC  M.S., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417506007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SINEAD KATHLEEN MILETIC M.S., BCBA
Provider Business Mailing Address
First Line : 20 WILCOX ST UNIT 412
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-2052
Country : US
Telephone Number : 224-567-3250
Fax Number :
Provider Business Practice Location Address
First Line : 25551 E SMOKY HILL RD
Second Line :
City : AURORA
State : CO
Zip : 80016-1391
Country : US
Telephone Number : 224-567-3250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2019
Last Update Date : 11/20/2024

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