Individual provider Active NPI

Kaila Oman, BCBA

  • Behavior Analyst
  • Galesburg, MI
National Provider Identifier
1396130035
Registry record updated Jan 10, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18190 Issued in MI
Practice address
9880 E Michigan Ave
Galesburg, MI 49053-8641
Phone
(269) 665-5022
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-18190 MI Primary

Addresses

Primary practice location

9880 E Michigan Ave
Galesburg, MI 49053-8641

Mailing address

12291 Fort Custer Dr
Galesburg, MI 49053-8797
Phone (269) 615-8674

Other names 1

  • Kaila Goodrich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaila@mosaiclearningcenters.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Learning Center LLC Behavior Analyst CurrentSince Jan 21, 2022 Accepting new patients

Locations

9880 E Michigan Ave
Galesburg, MI 49053
Phone (269) 665-5022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1396130035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 FORT CUSTER DR",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490538797",
            "telephone_number": "269-615-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 E MICHIGAN AVE",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490538641",
            "telephone_number": "269-665-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAN",
        "first_name": "KAILA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-15-18190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaila@mosaiclearningcenters.com",
            "affiliation": "N",
            "endpointDescription": "kaila@mosaiclearningcenters.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kaila@mosaiclearningcenters.com",
            "address_1": "9880 E Michigan Ave",
            "city": "Galesburg",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490538641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAILA",
            "last_name": "GOODRICH",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galesburg, MI

Sources for this page

Verify at the official NPI Registry.