Organization
MOSAIC LEARNING SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE SANDRA MACLEOD BCBA-D, LBA (DIRECTOR)
(801) 574-4150
Entity
Organization
Contact information
Practice address
1915 W 5TH ST, PORT ANGELES, WA 98363-1605
(801) 574-4150
Mailing address
1915 W 5TH ST, PORT ANGELES, WA 98363-1605
(801) 574-4150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-60761536
WA
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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