Organization
MILESTONES BEHAVIORAL PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN LYNNE MASRELIAN BCBA (OWNER)
(920) 737-5325
Entity
Organization
Contact information
Practice address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
(920) 351-3043
Mailing address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
(920) 351-3043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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