NPIMap

Organization Active NPI

Mosaic Autism Services, LLC

  • Behavior Analyst
  • Smyrna, GA
National Provider Identifier
1811494552
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9026 Issued in GA
Legal business name
MOSAIC AUTISM SERVICES, LLC
Practice address
1804 Kolora Chase
Smyrna, GA 30082-4905
Phone
(443) 844-9013
NPI assigned
Apr 10, 2018
Last updated
Apr 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Claire Donehower Paul, PHD, BCBA-DNPI 1487158234
Title
Bcba-D
Phone
(443) 844-9013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-9026 GA Primary

Addresses

Primary practice location

1804 Kolora Chase
Smyrna, GA 30082-4905

Mailing address

1804 Kolora Chase
Smyrna, GA 30082-4905
Phone (443) 844-9013

National Provider Directory

National Provider Directory

Locations

4901 Olde Towne Pkwy
Ste 200
Marietta, GA 30068
Phone (678) 580-3997

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1811494552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 KOLORA CHASE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824905",
            "telephone_number": "443-844-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 KOLORA CHASE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824905",
            "telephone_number": "443-844-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "DONEHOWER",
        "authorized_official_title_or_position": "BCBA-D",
        "authorized_official_telephone_number": "443-844-9013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-11-9026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.