Mosaic Therapeutic Services | |
4163 Rainbow Ter Fremont CA 94555-3240 | |
(650) 455-0839 | |
Not Available |
Full Name | Mosaic Therapeutic Services |
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Speciality | Behavior Analyst |
Location | 4163 Rainbow Ter, Fremont, California |
Authorized Official Name and Position | Nejat Romodan (OWNER/BEHAVIOR TECHNICIAN) |
Authorized Official Contact | 4088215634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mosaic Therapeutic Services 4163 Rainbow Ter Fremont CA 94555-3240 Ph: (650) 455-0839 | Mosaic Therapeutic Services 4163 Rainbow Ter Fremont CA 94555-3240 Ph: (650) 455-0839 |
NPI Number | 1063993269 |
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Provider Enumeration Date | 08/25/2018 |
Last Update Date | 08/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063993269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-15638 (California) | Primary |
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