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Organization
MOSAICS ABA, LLC
Active
Organization
MOSAICS ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISSA VAN ETTEN M.A., BCBA (DIRECTOR/ OWNER)
(949) 295-6599
Entity
Organization
Contact information
Practice address
12632 CALISTOGA WAY, AUSTIN, TX 78732-2452
(949) 295-6599
Mailing address
2900 N QUINLAN PARK RD, SUITE 240/235, AUSTIN, TX 78732-6083
(949) 295-6599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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