Organization
PEAK POTENTIAL BEHAVIOR & WELLNESS LLC
Active
Parent organization
OTHER
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTHER
Authorized official
STACEY WILSON (OWNER/ CLINICAL DIRECTOR)
(940) 368-7105
Entity
Organization
Contact information
Practice address
685 CITADEL DR E STE 345, COLORADO SPRINGS, CO 80909-5326
(940) 613-2618
Mailing address
685 CITADEL DR E STE 345, COLORADO SPRINGS, CO 80909-5326
(940) 613-2618
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/21/2021
Last updated
04/13/2023
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