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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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