FULL SPECTRUM ABA OF NORTH CAROLINA LLC (NPI# 1053955856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053955856 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM ABA OF NORTH CAROLINA LLC |
| Practice Address |
4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010 |
| Practice Telephone | 8139265454 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | COLLIN EDWARD STREETMAN (OWNER) |
| Authorized Official Telephone | 8139265454 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
4030 WAKE FOREST RD STE 349 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689041097 | Jomall Cummings | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-09-01 |
| 1225654080 | Prolific Life Solutions, Pllc | Clinic/Center | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2020-06-17 |
| 1851942338 | Ultracare LLC | Clinic/Center | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-09-25 |
| 1164073748 | Chortney Bellucci | Radiologic Technologist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-09-24 |
| 1295196806 | Chiquitta Lashawn Mcneill | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-03-09 |
| 1093175150 | Albany Lynn Ballard | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-03-02 |
| 1508226135 | Kimberly Burns | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-02-24 |
| 1861867574 | Catherine Elizabeth Graham | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-12-07 |
| 1669845780 | Emisha U Rodriguezdickey | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-11-11 |
| 1437521937 | Caitlin Haynes-trotta | Behavioral Analyst | 4030 Wake Forest Rd Ste 349, Ste 349, Raleigh, NC 27609-6800 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862230 | Katharine West-hazlewood | Behavioral Analyst | 317 S Boylan Ave # 2, Raleigh, NC 27603-1907 | 2020-08-21 |
| 1407468879 | Triangle Aba LLC | Behavioral Analyst | 10712 Marthas Way, Raleigh, NC 27615-1310 | 2020-08-18 |
| 1982220729 | Anna Reeves Shepherd | Behavioral Analyst | 8390 Six Forks Rd Ste 201204, Raleigh, NC 27615-3060 | 2020-06-17 |
| 1316567316 | Enfold Bh, LLC | Behavioral Analyst | 555 Fayetteville St Ste Office50, Raleigh, NC 27601-3030 | 2020-04-20 |
| 1427684232 | Adacelys S Perez | Behavioral Analyst | 5171 Glenwood Ave Ste 200, Raleigh, NC 27612-3266 | 2020-03-13 |
| 1861959074 | Dorothy K Griffith | Behavioral Analyst | 2701 Abbey Woods Dr Apt 205, Raleigh, NC 27614-6876 | 2019-02-24 |
| 1821554239 | Clarissa A Riggleman | Behavioral Analyst | 3041 Berks Way, Raleigh, NC 27614-6776 | 2019-02-11 |
| 1548770472 | Amy Wilhelm Demuth | Behavioral Analyst | 1549 The Arts Dr, Raleigh, NC 27603-3685 | 2017-10-05 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1427587021 | Rita Michele Hiatt | Behavioral Analyst | 559 Jones Franklin Rd # 164a, Raleigh, NC 27606-7622 | 2017-06-07 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on FULL SPECTRUM ABA OF NORTH CAROLINA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.