Organization
FULL SPECTRUM ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LONG BCBA (EXECUTIVE DIRECTOR)
(317) 318-4352
Entity
Organization
Contact information
Practice address
407 MEADOW AVE, CRAWFORDSVILLE, IN 47933-2718
(317) 318-4352
Mailing address
407 MEADOW AVE, CRAWFORDSVILLE, IN 47933-2718
(317) 318-4352
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/17/2021
Last updated
04/21/2021
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