Full Spectrum ABA of Louisiana

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FULL SPECTRUM ABA OF LOUISIANA

Practice address

201 Rue Beauregard Ste 202
Lafayette, LA 70508-3251

Phone

(813) 926-5454

NPI assigned

Nov 4, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collin Edward Streetman, BCBA

Title

Owner

Phone

(813) 926-5454

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1851935613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUE BEAUREGARD STE 202",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083251",
            "telephone_number": "813-926-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM ABA OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "STREETMAN",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-926-5454",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Fugarino, M.D.
• Fugetta & Dunaway Holdings, LLC
• Darah L Fugetta, DDS
• Juan M Fukuda, M.D.
• John Gary Fulgence
• George H Fuller, M.D.
• Heather Fuller, MSW, LCSW
• Leighanna R Fulton, MS, LPC
• Fallon Funderburk, BSN, RN, CNOR, RNFA
• Natalie Wright Funderburk, CRNA

• Behavior Analyst in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.