Mosaic Autism Services, Llc | |
1804 Kolora Chase Smyrna GA 30082-4905 | |
(443) 844-9013 | |
Not Available |
Full Name | Mosaic Autism Services, Llc |
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Speciality | Behavior Analyst |
Location | 1804 Kolora Chase, Smyrna, Georgia |
Authorized Official Name and Position | Claire Donehower Paul (BCBA-D) |
Authorized Official Contact | 4438449013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mosaic Autism Services, Llc 1804 Kolora Chase Smyrna GA 30082-4905 Ph: (443) 844-9013 | Mosaic Autism Services, Llc 1804 Kolora Chase Smyrna GA 30082-4905 Ph: (443) 844-9013 |
NPI Number | 1811494552 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 04/10/2018 |
Identifier | Type | State | Issuer |
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1811494552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-11-9026 (Georgia) | Primary |
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