Mosaic Pediatric Therapy | |
9101 Pineville Matthews Rd Ste S Pineville NC 28134-8840 | |
(980) 785-1113 | |
(980) 785-1114 |
Full Name | Mosaic Pediatric Therapy |
---|---|
Speciality | Behavior Analyst |
Location | 9101 Pineville Matthews Rd Ste S, Pineville, North Carolina |
Authorized Official Name and Position | Michael Patrick Machose (MANAGING MEMBER) |
Authorized Official Contact | 9807851113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mosaic Pediatric Therapy 2810 Coliseum Centre Dr Ste 520 Charlotte NC 28217-3252 Ph: (980) 785-1113 | Mosaic Pediatric Therapy 9101 Pineville Matthews Rd Ste S Pineville NC 28134-8840 Ph: (980) 785-1113 |
NPI Number | 1144682873 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 04/13/2022 |
Certification Date | 04/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144682873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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