Provider Demographics
NPI:1417525643
Name:BEHAVIOR BALANCE POINT, LLC
Entity Type:Organization
Organization Name:BEHAVIOR BALANCE POINT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLABORATIVE BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:MICHELLE KOWALCHUK
Authorized Official - Last Name:HUSEBY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:303-731-5457
Mailing Address - Street 1:7830 W ALAMEDA AVE
Mailing Address - Street 2:STE 103-219
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3093
Mailing Address - Country:US
Mailing Address - Phone:303-731-5457
Mailing Address - Fax:
Practice Address - Street 1:7550 W YALE AVE STE A135
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-3794
Practice Address - Country:US
Practice Address - Phone:303-731-5457
Practice Address - Fax:720-844-3282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15800075Medicaid