Provider Demographics
NPI:1750885547
Name:FULL SPECTRUM BEHAVIORAL SOLUTIONS, PLLC
Entity type:Organization
Organization Name:FULL SPECTRUM BEHAVIORAL SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, BCBA-LBA
Authorized Official - Phone:602-529-6950
Mailing Address - Street 1:508 E ORION ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2880
Mailing Address - Country:US
Mailing Address - Phone:602-909-8630
Mailing Address - Fax:
Practice Address - Street 1:508 E ORION ST
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2880
Practice Address - Country:US
Practice Address - Phone:617-538-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty