Full Spectrum Aba of Louisiana

NPI #1851935613 in Lafayette, Louisiana

Provider Information

NPI Number: 1851935613
Entity Type: Organization
Organization Name: Full Spectrum Aba of Louisiana
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 4, 2019
Last Updated: Nov 20, 2019

Practice Location

Address: 201 RUE BEAUREGARD STE 202
City: Lafayette
State: Louisiana
ZIP Code: 70508-3251
Phone: (813) 926-5454

Authorized Official

Name: COLLIN EDWARD 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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