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Organization
FULL SPECTRUM ABA OF MISSISSIPPI LLC
Active
Organization
FULL SPECTRUM ABA OF MISSISSIPPI 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
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(813) 926-5454
Mailing address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/04/2019
Last updated
03/04/2020
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