| Mosaic Neurodiversity Llc | |
| 
					2021 Far Hills Ave Oakwood OH 45419-2538  | |
| (210) 243-6308 | |
| Not Available | 
| Full Name | Mosaic Neurodiversity Llc | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 2021 Far Hills Ave, Oakwood, Ohio | 
| Authorized Official Name and Position | Erin Mckinstry Handler (OWNER) | 
| Authorized Official Contact | 2102436308 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mosaic Neurodiversity Llc 2021 Far Hills Ave Oakwood OH 45419-2538 Ph: (210) 243-6308  | Mosaic Neurodiversity Llc 2021 Far Hills Ave Oakwood OH 45419-2538 Ph: (210) 243-6308  | 
| NPI Number | 1801636014 | 
|---|---|
| Provider Enumeration Date | 05/28/2024 | 
| Last Update Date | 05/28/2024 | 
| Certification Date | 05/28/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801636014 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary | 
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