Healthcare Provider Details

I. General information

NPI: 1043120355
Provider Name (Legal Business Name): MOSAIC ABA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 NW SOUTH TAMIAMI CANAL DR APT 215
MIAMI FL
33126-1450
US

IV. Provider business mailing address

4325 NW SOUTH TAMIAMI CANAL DR APT 215
MIAMI FL
33126-1450
US

V. Phone/Fax

Practice location:
  • Phone: 305-915-6606
  • Fax:
Mailing address:
  • Phone: 305-915-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SABRINA TRIBONS
Title or Position: PRESIDENT
Credential:
Phone: 305-915-6606