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

Ph Balance Practitioners

Organization Behavior Analyst · NPI 1376136648

Ph Balance Practitioners is a Behavior Analyst in Longmont, Colorado. Registered with an NPI since 2021.

In the registry since
2021
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
Behavior Technician Taxonomy 106S00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1376136648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Pereahickam — Founder And Ceo · (720) 410-4529
NPI enumeratedFebruary 17, 2021
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address954 5th Ave, Longmont, CO 80501-5424

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