Organization
MOSAIC VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MIDDLETON BCBA, LBA (OWNER)
(435) 619-3028
Entity
Organization
Contact information
Practice address
580 E WILLIAMS AVE, HILDALE, UT 84784-7761
(435) 619-3028
Mailing address
PO BOX 3184, COLORADO CITY, AZ 86021-3184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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