Ph Balance Practitioners

NPI #1376136648 in Longmont, Colorado

Provider Information

NPI Number: 1376136648
Entity Type: Organization
Organization Name: Ph Balance Practitioners
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 17, 2021
Last Updated: Oct 4, 2023

Practice Location

Address: 954 5TH AVE
City: Longmont
State: Colorado
ZIP Code: 80501-5424
Phone: (720) 410-4529

Authorized Official

Name: DR. BRANDON ARTHUR PEREAHICKAM, PHD, BCBA
Title: FOUNDER AND CEO
Phone: (720) 410-4529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Community/Behavioral Health	251S00000X
Early Intervention Provider Agency	252Y00000X
In Home Supportive Care	253Z00000X
Behavior Analyst	103K00000X	Primary

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