Provider Demographics
NPI:1326506833
Name:MILESTONES FOR ALL LLC
Entity Type:Organization
Organization Name:MILESTONES FOR ALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:MAED
Authorized Official - Phone:707-332-2961
Mailing Address - Street 1:9802 GLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2626
Mailing Address - Country:US
Mailing Address - Phone:707-332-2961
Mailing Address - Fax:
Practice Address - Street 1:9802 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2626
Practice Address - Country:US
Practice Address - Phone:707-332-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty