Organization
MOSAIC AUTISM SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE DONEHOWER PAUL PHD, BCBA-D (BCBA-D)
(443) 844-9013
Entity
Organization
Contact information
Practice address
1804 KOLORA CHASE, SMYRNA, GA 30082-4905
(443) 844-9013
Mailing address
1804 KOLORA CHASE, SMYRNA, GA 30082-4905
(443) 844-9013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9026
GA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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