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Organization
FULL SPECTRUM ABA OF NORTH CAROLINA LLC
Active
Organization
FULL SPECTRUM ABA OF NORTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN EDWARD STREETMAN BCBA (OWNER)
(813) 926-5454
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(813) 926-5454
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/05/2019
Last updated
11/20/2019
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