Milestones Licensed Behavior Analyst PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MILESTONES LICENSED BEHAVIOR ANALYST PLLC

Practice address

12 Riverglen Dr
Thiells, NY 10984-1436

Phone

(845) 608-6933

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Meryl RubinNPI 1457065773

Title

Owner

Phone

(845) 608-6933

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meryl Rubin, BCBA

  • Behavior Analyst
  • Thiells, NY
  • NPI 1457065773
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1548035769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIVERGLEN DR",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109841436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIVERGLEN DR",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109841436",
            "telephone_number": "845-608-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-608-6933"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lulo, OTR/L, MS
• Carmen M. Martinez, LMSW
• Lindsey Meade
• Diane Mendez
• Milestones Integrated Services O.T., P.T., R.N., S.L.P.
• Carol Ann Greenan Moetzinger, N.P.
• MVB Dental Care,P.C.
• New York State
• New York State Hvddso
• Kerry Orr, SLP

• All providers in Thiells, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.