MOSAIC THERAPEUTIC SERVICES
NPI 1063993269
Behavior Analyst in Fremont, CA

NPI Status: Active since August 25, 2018

Contact Information

4163 RAINBOW TER
FREMONT, CA
ZIP 94555
Phone: (650) 455-0839

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  • Organization
  • Behavior Analyst

About MOSAIC THERAPEUTIC SERVICES

This page provides the complete NPI Profile along with additional information for Mosaic Therapeutic Services, a provider established in Fremont, California operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1063993269 assigned on August 2018. The practitioner's primary taxonomy code is 103K00000X with license number 1-14-15638 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nejat Romodan (Owner/behavior Technician)

NPI
1063993269
Provider Name
MOSAIC THERAPEUTIC SERVICES
Entity Type
Organization
Location Address
4163 RAINBOW TER FREMONT, CA 94555
Location Phone
(650) 455-0839
Mailing Address
4163 RAINBOW TER FREMONT, CA 94555
Mailing Phone
(650) 455-0839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2018
Last Update Date
08-25-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
1-14-15638
License State
CA
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NEJAT ROMODAN

Authorized Official Title
OWNER/BEHAVIOR TECHNICIAN
Authorized Official Phone
(408) 821-5634

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063993269
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231896212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 9 + 6 + 2 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1063993269 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063993269, enumerated in the NPI registry as an "organization" on August 25, 2018

The provider is located at 4163 Rainbow Ter Fremont, Ca 94555 and the phone number is (650) 455-0839

This medical organization specializes in Behavior Analyst with taxonomy code 103K00000X

This NPI record was last updated on August 25, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.