Healthcare Provider Details

I. General information

NPI: 1295650984
Provider Name (Legal Business Name): PEAK FUNCTIONALITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 E MINERAL AVE STE C
LITTLETON CO
80122-2604
US

IV. Provider business mailing address

1201 LAKE HILLS TRL
ROANOKE TX
76262-2082
US

V. Phone/Fax

Practice location:
  • Phone: 214-470-5707
  • Fax:
Mailing address:
  • Phone: 214-470-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY MILSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 214-470-5707