Provider Demographics
NPI:1306211693
Name:MASTERING MILESTONES THERAPY
Entity Type:Organization
Organization Name:MASTERING MILESTONES THERAPY
Other - Org Name:MMS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANTHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-377-1021
Mailing Address - Street 1:25 CHEVERNY CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4712
Mailing Address - Country:US
Mailing Address - Phone:908-377-1021
Mailing Address - Fax:
Practice Address - Street 1:4 FAIRWAY CT
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-5035
Practice Address - Country:US
Practice Address - Phone:908-377-1021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency