Brandon A Perea-Hickam, PHD, BCBA, LMFT, LAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

954 5TH Ave
Longmont, CO 80501-5424

Phone

(720) 461-4874

NPI assigned

Jun 12, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PH Balance Behavioral

  • Behavior Analyst
  • Longmont, CO
  • NPI 1598399115
  NPD (past) Authorized official
• Innovations Developmental Solutions

  • Behavior Analyst
  • Westminster, CO
  • NPI 1447078035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1225697279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 5TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015424",
            "telephone_number": "720-461-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 5TH AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015424",
            "telephone_number": "720-461-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA-HICKAM",
        "first_name": "BRANDON",
        "middle_name": "A",
        "credential": "PHD, BCBA, LMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Peer, CACLLL
• Michelle Pelc, MA, LPC
• Jovahna Pena
• Shivani Eve Penberthy, MA, LPCC
• People Centered Services
• Raymond Pereira
• Angel N/a Perez, RBT
• Gina Lee Perez, BSW
• Jitka Perez
• Perfect Teeth - Longmont P.C.

• Marriage & Family Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.