Provider Demographics
NPI:1083496665
Name:MILESTONES ABA CLINIC OF MICHIGAN LLC
Entity Type:Organization
Organization Name:MILESTONES ABA CLINIC OF MICHIGAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-983-4828
Mailing Address - Street 1:5125 INDIANWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-3120
Mailing Address - Country:US
Mailing Address - Phone:248-983-4828
Mailing Address - Fax:248-983-4839
Practice Address - Street 1:5125 INDIANWOOD DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-3120
Practice Address - Country:US
Practice Address - Phone:248-983-4828
Practice Address - Fax:248-983-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty