Provider Demographics
NPI:1871885871
Name:MILESTONES BEHAVIOR GROUP, INC.
Entity type:Organization
Organization Name:MILESTONES BEHAVIOR GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:850-221-0924
Mailing Address - Street 1:2215 SUMMER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1585
Mailing Address - Country:US
Mailing Address - Phone:850-221-0924
Mailing Address - Fax:205-278-5869
Practice Address - Street 1:4244 CAHABA HEIGHTS CT # 300
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5711
Practice Address - Country:US
Practice Address - Phone:205-253-6903
Practice Address - Fax:205-278-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1106749103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty