Provider Demographics
NPI:1750001384
Name:MASTERING MILESTONES
Entity type:Organization
Organization Name:MASTERING MILESTONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDI CERTIFIED
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-315-4416
Mailing Address - Street 1:107 MANOR AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1143
Mailing Address - Country:US
Mailing Address - Phone:609-315-4416
Mailing Address - Fax:
Practice Address - Street 1:107 MANOR AVE
Practice Address - Street 2:
Practice Address - City:OAKLYN
Practice Address - State:NJ
Practice Address - Zip Code:08107-1143
Practice Address - Country:US
Practice Address - Phone:609-315-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1725752OtherBUSINESS CERTIFICATION NUMBER