| Ph Balance Behavioral | |
|
954 5th Ave Longmont CO 80501-5424 | |
| (720) 410-4529 | |
| Not Available |
| Full Name | Ph Balance Behavioral |
|---|---|
| Speciality | Behavior Analyst |
| Location | 954 5th Ave, Longmont, Colorado |
| Authorized Official Name and Position | Brandon Arthur Perea-hickam (FOUNDER AND CEO) |
| Authorized Official Contact | 7204104529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ph Balance Behavioral 954 5th Ave Longmont CO 80501-5424 Ph: (720) 410-4529 | Ph Balance Behavioral 954 5th Ave Longmont CO 80501-5424 Ph: (720) 410-4529 |
| NPI Number | 1598399115 |
|---|---|
| Provider Enumeration Date | 02/24/2020 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598399115 | NPI | - | NPPES |
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