Full Spectrum Behavioral Analysis LLC

Behavior Analyst · Odessa, FL

Organization Active NPI

NPI number 1174928931

Practice location

16414 Lake Church Dr
Odessa, FL 33556-2637
Phone
(813) 205-2715
Fax
(813) 920-9252

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NPI record

NPI
1174928931
Entity type
Organization (Type 2)
Enumeration date
October 22, 2014
Last updated
November 24, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-14-15276 —

Authorized official

Name
Carroll Edward Streetman Jr., RN
Title
President
Phone
(813) 205-2715

About Full Spectrum Behavioral Analysis LLC

Full Spectrum Behavioral Analysis LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 16414 Lake Church Dr, Odessa, FL 33556-2637. The NPI number 1174928931 was assigned on October 22, 2014 and the record was last updated on November 24, 2015.

Full Spectrum Behavioral Analysis LLC lists a license in the registry: #1-14-15276 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Carroll Edward Streetman Jr., RN, President.

Frequently asked questions

What is the NPI number of Full Spectrum Behavioral Analysis LLC?

The NPI number is 1174928931.

What is the phone number of Full Spectrum Behavioral Analysis LLC?

The phone number listed for the practice location is (813) 205-2715.

Where is Full Spectrum Behavioral Analysis LLC located?

16414 Lake Church Dr, Odessa, FL 33556-2637.

What is the taxonomy code for Full Spectrum Behavioral Analysis LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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