PEAK POTENTIAL BEHAVIOR & WELLNESS LLC (NPI# 1164807210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164807210 |
| Entity Type | Organization |
| Organization Name | PEAK POTENTIAL BEHAVIOR & WELLNESS LLC |
| Practice Address |
8324 Cedar Chase Dr Fountain CO 80817-4030 |
| Practice Telephone | 7193311781 |
| Practice Fax Number | 7196388115 |
| Mailing Telephone | 7193311781 |
| Mailing Fax Number | 7196388115 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | STACEY WILSON (OWNER) |
| Authorized Official Telephone | 7193311781 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15649 | CO | Behavioral Health & Social Service Providers |
| Street Address |
8324 CEDAR CHASE DR |
| City | FOUNTAIN |
| State | CO |
| Zip Code | 80817-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548670433 | Stacey Wilson | Behavioral Analyst | 8324 Cedar Chase Dr, Fountain, CO 80817-4030 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1417519885 | Hannah Louise Fiser | Occupational Therapist | 901 N Santa Fe Ave., Fountain, CO 80817 | 2019-07-05 |
| 1780172858 | Alonna Ku | Dental Hygienist | 8085 Fountain Mesa Road, Fountain, CO 80817 | 2018-04-24 |
| 1902308489 | Scott R Mathis Maintenance & Construction | Contractor | 7046 Stowe Circle, Fountain, CO 80817 | 2018-03-01 |
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| 1174058176 | Amy Rapp | Psychologist | 6885 Mesa Ridge Parkway, # 141, Fountain, CO 80817 | 2017-04-27 |
| 1063954063 | Tracey Lynn Daniels | Physician Assistant | 10513 Wells Pt, Fountain, CO 80817 | 2016-11-08 |
| 1811440860 | Hanover Fire Protection District | Ambulance | 13325 Old Pueblo Road, Fountain, CO 80817 | 2016-07-26 |
| 1356704001 | Fountain Chiropractic and Wellness Center | Chiropractor | 468 N. Santa Fe Ave, Fountain, CO 80817 | 2016-03-31 |
| Find all providers in zip 80817 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962890590 | Tiffany Rose Menzel | Behavioral Analyst | 926 Square Dance Ln, Fountain, CO 80817-4160 | 2015-01-06 |
| 1548670433 | Stacey Wilson | Behavioral Analyst | 8324 Cedar Chase Dr, Fountain, CO 80817-4030 | 2014-05-01 |
| 1093005001 | Nicole Shannon Herrera | Behavioral Analyst | 8319 Newbury Way, Fountain, CO 80817-4049 | 2011-04-11 |
| 1467050658 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-12 |
| 1790382364 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-10-06 |
| 1366057689 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-09-14 |
| 1356954424 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-08-28 |
| 1558972596 | Buck Jack LLC | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-08-13 |
| 1104480904 | Skylar Nicole Hartsoch | Behavioral Analyst | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2019-04-26 |
| 1487043980 | Boundless Potential, LLC | Behavioral Analyst | 926 Square Dance Ln, Fountain, CO 80817-4160 | 2015-01-21 |
| Find all providers in FOUNTAIN | ||||
Please comment or provide details below to improve the information on PEAK POTENTIAL BEHAVIOR & WELLNESS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.