Provider Demographics
NPI:1417506007
Name:MILETIC, SINEAD KATHLEEN (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:SINEAD
Middle Name:KATHLEEN
Last Name:MILETIC
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WILCOX ST UNIT 412
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2052
Mailing Address - Country:US
Mailing Address - Phone:224-567-3250
Mailing Address - Fax:
Practice Address - Street 1:25551 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1391
Practice Address - Country:US
Practice Address - Phone:224-567-3250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILRBT-19-92757OtherRBT 19-92757