| Full Spectrum Aba Of Maryland Llc | |
|
5000 Thayer Ctr Ste C Oakland MD 21550-1139 | |
| (813) 926-5454 | |
| Not Available |
| Full Name | Full Spectrum Aba Of Maryland Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5000 Thayer Ctr Ste C, Oakland, Maryland |
| Authorized Official Name and Position | Collin 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 Maryland Llc 5000 Thayer Ctr Ste C Oakland MD 21550-1139 Ph: (813) 926-5454 | Full Spectrum Aba Of Maryland Llc 5000 Thayer Ctr Ste C Oakland MD 21550-1139 Ph: (813) 926-5454 |
| NPI Number | 1215575352 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215575352 | NPI | - | NPPES |
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