| Milestone Achievements Llc | |
|
4124 Quebec Ave N New Hope MN 55427-1235 | |
| (612) 403-1569 | |
| Not Available |
| Full Name | Milestone Achievements Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4124 Quebec Ave N, New Hope, Minnesota |
| Authorized Official Name and Position | Suad Dhiisow (OWNER) |
| Authorized Official Contact | 6124031569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Achievements Llc 4124 Quebec Ave N New Hope MN 55427-1235 Ph: (612) 403-1569 | Milestone Achievements Llc 4124 Quebec Ave N New Hope MN 55427-1235 Ph: (612) 403-1569 |
| NPI Number | 1285482471 |
|---|---|
| Provider Enumeration Date | 05/11/2024 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285482471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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