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Organization

PEAK POTENTIAL BEHAVIOR & WELLNESS LLC

Active
Parent organization
NO
Other names
Peak Potential Behavioral Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
NO
Authorized official
STACEY WILSON MED, BCBA (OWNER/ CLINCAL DIRECTOR)
(940) 368-7105
Entity
Organization

Contact information

Practice address
5350 N ACADEMY BLVD STE 102, COLORADO SPRINGS, CO 80918-4055
(940) 368-7105
Mailing address
5350 N ACADEMY BLVD STE 102, COLORADO SPRINGS, CO 80918-4055
(940) 368-7105

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/07/2021
Last updated
06/07/2021
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