Provider Demographics
NPI:1073084513
Name:BEHAVIORAL MILESTONES
Entity Type:Organization
Organization Name:BEHAVIORAL MILESTONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BCBA
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:MCARTHUR
Authorized Official - Last Name:FERRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:LABA, BCBA
Authorized Official - Phone:978-580-4151
Mailing Address - Street 1:47 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1512
Mailing Address - Country:US
Mailing Address - Phone:978-580-4151
Mailing Address - Fax:
Practice Address - Street 1:47 WILLOW RD
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1512
Practice Address - Country:US
Practice Address - Phone:978-580-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1598111932Medicaid