Provider Demographics
NPI:1265291405
Name:MINDFUL MILESTONES SERVICES INC
Entity type:Organization
Organization Name:MINDFUL MILESTONES SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-840-7033
Mailing Address - Street 1:2940 OCEAN AVE APT B9
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3230
Mailing Address - Country:US
Mailing Address - Phone:718-840-7033
Mailing Address - Fax:
Practice Address - Street 1:2940 OCEAN AVE APT B9
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3230
Practice Address - Country:US
Practice Address - Phone:718-840-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty