| Full Spectrum Aba Of Mississippi Llc | |
|
270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 | |
| (813) 926-5454 | |
| Not Available |
| Full Name | Full Spectrum Aba Of Mississippi Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 270 Trace Colony Park Dr Ste B, Ridgeland, Mississippi |
| Authorized Official Name and Position | Collin Edward Streetman (OWNER) |
| Authorized Official Contact | 8139265454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Spectrum Aba Of Mississippi Llc 270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 Ph: () - | Full Spectrum Aba Of Mississippi Llc 270 Trace Colony Park Dr Ste B Ridgeland MS 39157-8810 Ph: (813) 926-5454 |
| NPI Number | 1164066924 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164066924 | NPI | - | NPPES |
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