| Peak Potential Aba Llc | |
|
5245 Conley Ln Fairfield CA 94533-1491 | |
| (707) 386-8808 | |
| Not Available |
| Full Name | Peak Potential Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5245 Conley Ln, Fairfield, 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 5245 Conley Ln Fairfield CA 94533-1491 Ph: (707) 386-8808 | Peak Potential Aba Llc 5245 Conley Ln Fairfield CA 94533-1491 Ph: (707) 386-8808 |
| NPI Number | 1043078280 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043078280 | NPI | - | NPPES |
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