Healthcare Provider Details

I. General information

NPI: 1164339842
Provider Name (Legal Business Name): CONTINUUM BEHAVIORAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 DEAN ST STE 800-U
ST CHARLES IL
60175-4810
US

IV. Provider business mailing address

2325 DEAN ST STE 800-U
ST CHARLES IL
60175-4810
US

V. Phone/Fax

Practice location:
  • Phone: 720-937-7895
  • Fax:
Mailing address:
  • Phone: 720-937-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ALISHA PETERSON
Title or Position: CEO
Credential: BCBA, LBA
Phone: 720-937-7895