Mosaic Village

NPI #1942032776 in Hildale, Utah

Provider Information

NPI Number: 1942032776
Entity Type: Organization
Organization Name: Mosaic Village
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 580 E WILLIAMS AVE
City: Hildale
State: Utah
ZIP Code: 84784-7761
Phone: (435) 619-3028

Authorized Official

Name: HEATHER MIDDLETON, BCBA, LBA
Title: OWNER
Phone: (435) 619-3028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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