Perea-Hickam, Brandon A

Perea-Hickam, Brandon A is an sole proprietor health care provider with primary practice located at 954 5Th Ave , Longmont CO 80501-5424. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Perea-Hickam, Brandon A can be contacted via phone (720) 461-4874.

Contact Information

Primary practice address
954 5Th Ave Longmont CO 80501-5424
Phone: (720) 461-4874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X Colorado
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1225697279
LBN Legal business name Perea-Hickam, Brandon A
Credentials PHD, BCBA, MFTC, ADD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2019
Last updated Oct 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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