Provider Demographics
NPI:1285123208
Name:STANKOVIC, MILENA (BCBA-1-20-46770)
Entity type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:STANKOVIC
Suffix:
Gender:
Credentials:BCBA-1-20-46770
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 CHAMBERLAIN LN UNIT 103
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9297
Mailing Address - Country:US
Mailing Address - Phone:571-228-5689
Mailing Address - Fax:
Practice Address - Street 1:508 CHAMBERLAIN LN UNIT 103
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9297
Practice Address - Country:US
Practice Address - Phone:571-228-5689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-20-46770103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst