| Peak Potential Behavior & Wellness Llc | |
|
8324 Cedar Chase Dr Fountain CO 80817-4030 | |
| (719) 331-1781 | |
| (719) 638-8115 |
| Full Name | Peak Potential Behavior & Wellness Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8324 Cedar Chase Dr, Fountain, Colorado |
| Authorized Official Name and Position | Stacey Wilson (OWNER) |
| Authorized Official Contact | 7193311781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Potential Behavior & Wellness Llc 8324 Cedar Chase Dr Fountain CO 80817-4030 Ph: (719) 331-1781 | Peak Potential Behavior & Wellness Llc 8324 Cedar Chase Dr Fountain CO 80817-4030 Ph: (719) 331-1781 |
| NPI Number | 1164807210 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164807210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-15649 (Colorado) | Primary |
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