Magnolia Milestones ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAGNOLIA MILESTONES ABA LLC

Practice address

3618 River Watch LN
Franklinton, NC 27525-7051

Phone

(704) 578-1099

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Lalas

Title

Owner

Phone

(704) 578-1099

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Baileigh Alexandra Roper

  • Behavior Technician
  • Franklinton, NC
  • NPI 1699653089
  NPD
• Zavion Crawley

  • Behavior Technician
  • Franklinton, NC
  • NPI 1033063318
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1174380877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 RIVER WATCH LN",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275257051",
            "telephone_number": "704-578-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 RIVER WATCH LN",
            "city": "FRANKLINTON",
            "state": "NC",
            "postal_code": "275257051",
            "telephone_number": "704-578-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MILESTONES ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LALAS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-578-1099"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavitha N Krishnan, OTD MS OTR/L
• Morgan Leithead
• Lily of the Valley, Inc.
• Ruth Lowe, BSW, LCAS, LPC
• Lucas-Ryan & Associates
• Cynthia Marrow
• Anna Marshburn, COTA/L
• Nancy Martinez- Salazar
• Sierra Nicole McAroy
• Bridgette L McQueen, MA, CPC, CD(DONA)

• Behavior Analyst in Franklinton, NC
• Providers in Franklinton, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.