Mosaics ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOSAICS ABA, LLC

Practice address

12632 Calistoga Way
Austin, TX 78732-2452

Phone

(949) 295-6599

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nissa Van Etten, M.A., BCBA

Title

Director/ Owner

Phone

(949) 295-6599

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1144767583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD",
            "address_2": "SUITE 240/235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326083",
            "telephone_number": "949-295-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12632 CALISTOGA WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322452",
            "telephone_number": "949-295-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAICS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "VAN ETTEN",
        "authorized_official_first_name": "NISSA",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "949-295-6599",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Morton, LPC
• Louise Kondel Morton, RDN, LDN
• Priscilla A Morton, LCSW
• Sara C Morton, M.S. ED.
• Mosaic Mind & Body Wellness, PLLC
• Jake N Mosburg, BCBA, LBA
• Carrie Michele Moschitto, ANP-C
• Newton Dee Moscoe, MD
• John C Moscona
• Cassandra J Moseley, RDN

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.