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NPI Code Detail

MEDICARE: PEAK INTERVENTIONS LLC

MEDICARE: PEAK INTERVENTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist37593CO
2103K00000XBehavior Analyst1-11-8937CO

General Provider Information

NPI Number : 1003163429
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK INTERVENTIONS LLC
Provider Business Mailing Address
First Line : 1118 N ARCADIA ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2639
Country : US
Telephone Number : 720-384-5312
Fax Number :
Provider Business Practice Location Address
First Line : 1118 N ARCADIA ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-2639
Country : US
Telephone Number : 720-384-5312
Fax Number :
Authorized Official
Title or Position : BOARD CERTIFIED BEHAVIOR ANALYST
Name : MRS. HEATHER A ENOS
Credential : ED.S, BCBA
Telephone Number : 720-384-5312
Provider Enumeration Date : 08/06/2012
Last Update Date : 08/06/2012

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Directions to “PEAK INTERVENTIONS LLC ” Practice Location

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