MEDICARE: MILESTONE ABA NV 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	:	1801759725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONE ABA NV LLC

Provider Business Mailing Address
First Line	:	5510 16TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1806
Country	:	US
Telephone Number	:	718-400-8679
Fax Number	:	718-400-8679

Provider Business Practice Location Address
First Line	:	871 CORONADO CENTER DR STE 200
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3977
Country	:	US
Telephone Number	:	718-400-8679
Fax Number	:	718-400-8679

Authorized Official
Title or Position	:	OFFICE ADMINSTRATOR
Name	:	MAGDY MAHMOUD
Credential	:
Telephone Number	:	973-370-4000

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/09/2025

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Directions to “MILESTONE ABA NV LLC ” Practice Location

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