Full Spectrum ABA of Mississippi LLC
NPI 1164066924ActiveOrganization· Behavior Analyst· Ridgeland, MS
Behavior Analyst in Ridgeland, Mississippi, registered in NPPES in November 2019. The authorized official on file is Collin Edward Streetman, BCBA, Owner.
Overview
| NPI | 1164066924 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2019 |
| Last updated in NPPES | Mar 4, 2020 |
| Certified by provider | Mar 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Assistant Behavior Analyst | 106E00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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