Individual
LISA MOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1535 N LEROY ST, FENTON, MI 48430-2791
(844) 427-7700
Mailing address
1535 N LEROY ST, FENTON, MI 48430-2791
(586) 817-3635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/23/2016
Last updated
11/29/2023
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