Organization Name: | PEAK INTERVENTIONS LLC |
NPI Number: | 1003163429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER A ENOS (BOARD CERTIFIED BEHAVIOR ANALYST) |
Mailing Address: | 1118 N Arcadia St Colorado Springs |
State: | CO US |
Postal Code: | 809032639 |
Phone Number: | 7203845312 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2012 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 37593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |