Provider Demographics
NPI:1447891494
Name:MILESTONES EARLY INTERVENTION SERVICES INC.
Entity type:Organization
Organization Name:MILESTONES EARLY INTERVENTION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BUCHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA
Authorized Official - Phone:516-474-5623
Mailing Address - Street 1:14 PASTURE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1205
Mailing Address - Country:US
Mailing Address - Phone:516-474-5623
Mailing Address - Fax:516-622-1250
Practice Address - Street 1:14 PASTURE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1205
Practice Address - Country:US
Practice Address - Phone:516-474-5623
Practice Address - Fax:516-622-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management