Provider Demographics
NPI:1649667387
Name:PEAK BEHAVIORAL STRATEGIES
Entity type:Organization
Organization Name:PEAK BEHAVIORAL STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:KIRBY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:931-581-7397
Mailing Address - Street 1:107 HERMITAGE DR
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-6201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 HERMITAGE DR
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-6201
Practice Address - Country:US
Practice Address - Phone:931-581-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11417342251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health