| Peak Potential Behavior & Wellness Llc | |
|
685 Citadel Dr E Ste 345 Colorado Springs CO 80909-5326 | |
| (940) 613-2618 | |
| Not Available |
| Full Name | Peak Potential Behavior & Wellness Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 685 Citadel Dr E Ste 345, Colorado Springs, Colorado |
| Authorized Official Name and Position | Stacey Wilson (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 9403687105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Potential Behavior & Wellness Llc 685 Citadel Dr E Ste 345 Colorado Springs CO 80909-5326 Ph: (940) 613-2618 | Peak Potential Behavior & Wellness Llc 685 Citadel Dr E Ste 345 Colorado Springs CO 80909-5326 Ph: (940) 613-2618 |
| NPI Number | 1427627819 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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