Organization Active NPI

Meaningful Milestones, Applied Behavior Analysis, LLC

  • Behavior Analyst
  • Suwanee, GA
National Provider Identifier
1366210270
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MEANINGFUL MILESTONES, APPLIED BEHAVIOR ANALYSIS, LLC
Practice address
400 Buford Hwy Apt 3317
Suwanee, GA 30024-4984
Phone
(917) 259-6652
Fax
(917) 259-6654
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Youngbin Kim, ED.M.NPI 1437670908
Title
Ceo
Phone
(917) 259-6652

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

400 Buford Hwy Apt 3317
Suwanee, GA 30024-4984

Mailing address

400 Buford Hwy Apt 3317
Suwanee, GA 30024-4984
Phone (917) 259-6652

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.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1366210270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BUFORD HWY APT 3317",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244984",
            "telephone_number": "917-259-6652",
            "fax_number": "917-259-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BUFORD HWY APT 3317",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244984",
            "telephone_number": "917-259-6652",
            "fax_number": "917-259-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANINGFUL MILESTONES, APPLIED BEHAVIOR ANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNGBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-259-6652",
        "authorized_official_credential": "ED.M."
    },
    "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 Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.