| 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 |
|---|---|
| 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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