NPIMap

Organization Active NPI

Milestones Behavioral Services LLC

  • Behavior Analyst
  • Lake Charles, LA
National Provider Identifier
1669735502
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5571 Issued in LA
Legal business name
MILESTONES BEHAVIORAL SERVICES LLC
Practice address
3912 Evergreen Street
Lake Charles, LA 70605-2310
Phone
(337) 540-9737
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Ms. Melissa Coco Raymond, BCBANPI 1073842704
Title
Board Certified Behavior Analyst
Phone
(337) 540-9737

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 1-09-5571 LA Primary

Addresses

Primary practice location

3912 Evergreen Street
Lake Charles, LA 70605-2310

Mailing address

3912 Evergreen Street
Lake Charles, LA 70605-2310
Phone (337) 540-9737

National Provider Directory

National Provider Directory

Locations

430 Roberts Ave
Jennings, LA 70546
Phone (337) 429-5248

Practitioners & affiliated clinicians

Practitioners 5

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": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1669735502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 EVERGREEN STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052310",
            "telephone_number": "337-540-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 EVERGREEN STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052310",
            "telephone_number": "337-540-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "COCO",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "337-540-9737",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-09-5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.