Organization
MOSAIC LEARNING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILA OMAN (OWNER)
(269) 665-5022
Entity
Organization
Contact information
Practice address
9880 E MICHIGAN AVE, GALESBURG, MI 49053-8641
(269) 665-5022
Mailing address
12291 FORT CUSTER DR, GALESBURG, MI 49053-8797
(269) 615-8674
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/21/2021
Last updated
09/09/2022
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