| Milestone Mastery Aba Corp | |
|
13820 Lake Claire Ct Miami Lakes FL 33014-3030 | |
| (786) 810-3656 | |
| Not Available |
| Full Name | Milestone Mastery Aba Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 13820 Lake Claire Ct, Miami Lakes, Florida |
| Authorized Official Name and Position | Edey Ladron De Guevara (PRESIDENT) |
| Authorized Official Contact | 7868103656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Mastery Aba Corp 13820 Lake Claire Ct Miami Lakes FL 33014-3030 Ph: (786) 810-3656 | Milestone Mastery Aba Corp 13820 Lake Claire Ct Miami Lakes FL 33014-3030 Ph: (786) 810-3656 |
| NPI Number | 1164107793 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164107793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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