Organization
FULL SPECTRUM ABA OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLLIN EDWARD STREETMAN BCBA (OWNER)
(813) 926-5454
Entity
Organization
Contact information
Practice address
300 COLONIAL CENTER PKWY STE 100N, ROSWELL, GA 30076-4892
(813) 926-5454
Mailing address
300 COLONIAL CENTER PKWY, ROSWELL, GA 30076-4899
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
11/20/2019
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