Provider Demographics
NPI:1699420539
Name:MILESTONES ABA THERAPY PLLC
Entity type:Organization
Organization Name:MILESTONES ABA THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-251-8366
Mailing Address - Street 1:2 DRAPER CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 DRAPER CIR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5025
Practice Address - Country:US
Practice Address - Phone:727-251-8366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty