Full Spectrum Aba of Maryland LLC

NPI #1215575352 in Oakland, Maryland

Provider Information

NPI Number: 1215575352
Entity Type: Organization
Organization Name: Full Spectrum Aba of Maryland LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 5000 THAYER CTR STE C
City: Oakland
State: Maryland
ZIP Code: 21550-1139
Phone: (813) 926-5454

Authorized Official

Name: COLLIN STREETMAN, BCBA
Title: OWNER
Phone: (813) 926-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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