Provider Type Icon

FULL SPECTRUM ABA OF NORTH CAROLINA LLC NPI 1053955856


NPI Information

NPI: 1053955856
Provider Name: FULL SPECTRUM ABA OF NORTH CAROLINA LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
4030 WAKE FOREST RD STE 349
RALEIGH, NC
ZIP 27609
Phone: (813) 926-5454
Get Directions

FULL SPECTRUM ABA OF NORTH CAROLINA LLC is a behavior analyst in Raleigh, NC. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. FULL SPECTRUM ABA OF NORTH CAROLINA LLC NPI is 1053955856. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4030 WAKE FOREST RD STE 349
RALEIGH, NC
ZIP 27609-010
Phone: (813) 926-5454

The provider's authorized official is Collin Edward Streetman .
The authorized official title is Owner and has the following contact phone number (813) 926-5454.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 11/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystYes
2106E00000XAssistant Behavior AnalystNo
3106S00000XBehavior TechnicianNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.