Provider Demographics
NPI:1780208389
Name:MILESTONES BEHAVIORAL CENTER LLC
Entity Type:Organization
Organization Name:MILESTONES BEHAVIORAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CIBELE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CECHELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:407-505-9071
Mailing Address - Street 1:15675 ORANGE HARVEST LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3199
Mailing Address - Country:US
Mailing Address - Phone:407-505-9071
Mailing Address - Fax:407-487-4229
Practice Address - Street 1:15675 ORANGE HARVEST LOOP
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3199
Practice Address - Country:US
Practice Address - Phone:407-505-9071
Practice Address - Fax:407-487-4229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-31
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty