MEDICARE: PEAK BEHAVIORAL CENTER 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1952008674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK BEHAVIORAL CENTER LLC

Provider Business Mailing Address
First Line	:	1329 WINTER GARDEN VINELAND RD STE 110
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4353
Country	:	US
Telephone Number	:	407-506-3429
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 WINTER GARDEN VINELAND RD STE 110
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4353
Country	:	US
Telephone Number	:	407-506-3429
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ADAM SCHNEIDER
Credential	:
Telephone Number	:	407-506-3429

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	07/17/2024

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