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Organization

PH BALANCE ADVOCATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON ARTHUR PEREAHICKAM PHD, BCBA (FOUNDER AND CEO)
(720) 410-4529
Entity
Organization

Contact information

Practice address
954 5TH AVE, LONGMONT, CO 80501-5424
(720) 410-4529
Mailing address
954 5TH AVE, LONGMONT, CO 80501-5424
(204) 104-5297

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
251S00000X
Community/Behavioral Health Agency
Primary
385H00000X
Respite Care

Other

Enumeration date
02/17/2021
Last updated
10/04/2023
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