Full Spectrum ABA Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FULL SPECTRUM ABA THERAPY

Practice address

407 Meadow Ave
Crawfordsville, IN 47933-2718

Phone

(317) 318-4352

Fax

(765) 217-7151

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Lauren Long, BCBANPI 1053811893

Title

Executive Director

Phone

(317) 318-4352

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Full Spectrum ABA Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Full Spectrum ABA Therapy

  • Behavior Analyst
  • Crawfordsville, IN
  • NPI 1427633783
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Long, MA, BCBA

  • Behavior Analyst
  • Waynetown, IN
  • NPI 1053811893
  NPD (past) Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1972185700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST OFC 217",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331712",
            "telephone_number": "317-318-4352",
            "fax_number": "765-217-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MEADOW AVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332718",
            "telephone_number": "317-318-4352",
            "fax_number": "765-217-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-318-4352",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300048511",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Frantsi, NP
• Melinda Louise Frazee, MS
• M. Scott Frey, D.D.S.
• Charles R Friend, D.O.
• Full Spectrum ABA Therapy
• Roger B Gandionco, MD
• Nicholas E Garner, RDN
• Deeanna Garza, BCBA
• Courtney Schmaltz Geiger, D.D.S
• Jenna Marie Giacomin, PHARMD

• Speech-Language Pathologist in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.