Provider Demographics
NPI:1568807659
Name:EMERGING MILESTONES, INC.
Entity Type:Organization
Organization Name:EMERGING MILESTONES, INC.
Other - Org Name:EMERGING MILESTONES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THINDA
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS
Authorized Official - Phone:408-876-8281
Mailing Address - Street 1:PO BOX 731253
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95173-1253
Mailing Address - Country:US
Mailing Address - Phone:408-728-8476
Mailing Address - Fax:510-371-9608
Practice Address - Street 1:1172 MURPHY AVE
Practice Address - Street 2:SUITE 201-202
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2429
Practice Address - Country:US
Practice Address - Phone:408-728-8476
Practice Address - Fax:510-371-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency