Organization
FULL SPECTRUM ABA OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN STREETMAN BCBA (OWNER)
(813) 926-5454
Entity
Organization
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(813) 926-5454
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(813) 926-5454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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