| Peak Potential Aba LLC | |
|
607 Elmira Rd # 129 Vacaville CA 95687-4655 | |
| (707) 908-9800 | |
| Not Available |
| Full Name | Peak Potential Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 607 Elmira Rd # 129, Vacaville, California |
| Authorized Official Name and Position | Kellie Coffman (OWNER) |
| Authorized Official Contact | 7073868808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Potential Aba LLC 607 Elmira Rd # 129 Vacaville CA 95687-4655 Ph: (707) 908-9800 | Peak Potential Aba LLC 607 Elmira Rd # 129 Vacaville CA 95687-4655 Ph: (707) 908-9800 |
| NPI Number | 1043078280 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043078280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
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