Full Spectrum ABA of Mississippi LLC
Organization Active NPI Behavior Analyst · Ridgeland, MS
NPI 1164066924 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1164066924
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- FULL SPECTRUM ABA OF MISSISSIPPI LLC
- Practice address
- 270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810 - Phone
- (813) 926-5454
- NPI assigned
- Nov 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Collin Edward Streetman, BCBA
- Title
- Owner
- Phone
- (813) 926-5454
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Assistant Behavior Analyst |
106E00000X | |||
| Behavior Technician |
106S00000X |
Addresses
Primary practice location
270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810
Mailing address
270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810
Other providers in Ridgeland, MS
- Ira Fowler Jr.
- Olivia Montagnet Franklin
- Emily Brooks Freeman
- Taylor Lindsey Freeman
- Full Circle Counseling & Consulting
- Regina Sharnee Fults-McMurtery
- Kaitlin Nicole Funches
- Jaycee Futral
- Lindsey Accardo Fyke
- G.F. Televet
All providers in Ridgeland, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.