Healthcare Provider Details

I. General information

NPI: 1316846223
Provider Name (Legal Business Name): PEAKE BEHAVIOR THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 POPO DR. NW
ALBUQUERQUE NM
87120
US

IV. Provider business mailing address

5616 POPO DR. NW
ALBUQUERQUE NM
87120
US

V. Phone/Fax

Practice location:
  • Phone: 505-235-9531
  • Fax:
Mailing address:
  • Phone: 505-235-9531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SABRINA PEAKE
Title or Position: PRESIDENT
Credential: MA, LMSW
Phone: 505-235-9531