Organization Active NPI

Milestone Mastery ABA Corp

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1164107793
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MILESTONE MASTERY ABA CORP
Practice address
13820 Lake Claire CT
Miami Lakes, FL 33014-3030
Phone
(786) 810-3656
NPI assigned
Jun 20, 2023
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edey Ladron de GuevaraNPI 1285189910
Title
President
Phone
(786) 810-3656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

13820 Lake Claire CT
Miami Lakes, FL 33014-3030

Mailing address

13820 Lake Claire CT
Miami Lakes, FL 33014-3030
Phone (786) 810-3656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1164107793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 LAKE CLAIRE CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143030",
            "telephone_number": "786-810-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 LAKE CLAIRE CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143030",
            "telephone_number": "786-810-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE MASTERY ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "LADRON DE GUEVARA",
        "authorized_official_first_name": "EDEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-810-3656"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.