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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