Organization
PEACH TREE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI EKSTROM (OWNER)
(406) 624-6599
Entity
Organization
Contact information
Practice address
1091 STONERIDGE DR, BOZEMAN, MT 59718-7042
(406) 624-6599
Mailing address
1091 STONERIDGE DR, BOZEMAN, MT 59718-7042
(406) 624-6599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/26/2017
Last updated
09/08/2023
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