Organization Active NPI

Magic Milestones Behavioral Service LLC

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1245166271
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAGIC MILESTONES BEHAVIORAL SERVICE LLC
Practice address
36 W Chelten Ave
Philadelphia, PA 19144-2702
Phone
(267) 882-6388
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Antoinette Cooper-Edney
Title
Ceo
Phone
(267) 882-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

36 W Chelten Ave
Philadelphia, PA 19144-2702

Mailing address

4843 Pulaski Ave
Philadelphia, PA 19144-4128
Phone (267) 882-6388

National Provider Directory

National Provider Directory

Locations

36 W Chelten Ave
Philadelphia, PA 19144

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1245166271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444128",
            "telephone_number": "267-882-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442702",
            "telephone_number": "267-882-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC MILESTONES BEHAVIORAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "COOPER-EDNEY",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-882-6388"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.