Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ph Balance Behavioral

Organization Behavior Analyst · NPI 1598399115

Ph Balance Behavioral is a Behavior Analyst in Longmont, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5

Practice location Address checks out

954 5th Ave
Longmont, CO 80501-5424
Phone: (720) 410-4529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Health Service Psychologist Taxonomy 103TH0100X
Assistant Behavior Analyst Taxonomy 106E00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1598399115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Perea-Hickam — Founder And Ceo · (720) 410-4529
NPI enumeratedFebruary 24, 2020
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address954 5th Ave, Longmont, CO 80501-5424

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