Ph Balance Behavioral

LBN: Ph Balance Behavioral
Ph Balance Behavioral is an health care organization with primary practice located at 954 5Th Ave , Longmont CO 80501-5424. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Ph Balance Behavioral can be contacted via phone (720) 410-4529, or through Perea-Hickam, Brandon Arthur via phone (720) 410-4529.

Contact Information

Primary practice address
954 5Th Ave Longmont CO 80501-5424
Phone: (720) 410-4529
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perea-Hickam, Brandon Arthur PHD, BCBA
Phone: (720) 410-4529

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1598399115
LBN Legal business name Ph Balance Behavioral
DBA Doing business as
Authorized official Perea-Hickam, Brandon Arthur PHD, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2020
Last updated Oct 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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