MEDICARE: MILESTONES BEHAVIORAL CONSULTING LLC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1467205658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONES BEHAVIORAL CONSULTING LLC

Provider Business Mailing Address
First Line	:	1002 N IMPERIAL AVE STE 2361
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1738
Country	:	US
Telephone Number	:	760-335-6577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 N IMPERIAL AVE STE 2361
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1738
Country	:	US
Telephone Number	:	760-335-6577
Fax Number	:

Authorized Official
Title or Position	:	HR MANAGER
Name	:	MRS. BLANCA CASTELLANOS
Credential	:
Telephone Number	:	760-335-6577

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	09/16/2025

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