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Organization
MOSAIC GROUP, LLC
Active
Organization
MOSAIC GROUP, LLC
Active
Other names
Mosaic Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK MACHOSE LPA, BCBA (MANAGING MEMBER)
(980) 785-1113
Entity
Organization
Contact information
Practice address
9101 PINEVILLE MATTHEWS RD STE S, PINEVILLE, NC 28134-8840
(980) 785-1113
(980) 785-1114
Mailing address
2810 COLISEUM CENTRE DR STE 520, CHARLOTTE, NC 28217-3252
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/22/2016
Last updated
04/13/2022
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