Provider Demographics
NPI:1366210270
Name:MEANINGFUL MILESTONES, APPLIED BEHAVIOR ANALYSIS, LLC
Entity type:Organization
Organization Name:MEANINGFUL MILESTONES, APPLIED BEHAVIOR ANALYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOUNGBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:EDM
Authorized Official - Phone:917-259-6652
Mailing Address - Street 1:400 BUFORD HWY APT 3317
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4984
Mailing Address - Country:US
Mailing Address - Phone:917-259-6652
Mailing Address - Fax:917-259-6654
Practice Address - Street 1:400 BUFORD HWY APT 3317
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4984
Practice Address - Country:US
Practice Address - Phone:917-259-6652
Practice Address - Fax:917-259-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty