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 |
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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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