Organization
SOCIALLY BEAUTIFUL ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANE ANTIONETTE MADISON M.ED, BCBA (CLINICAL DIRECTOR- BCBA)
(719) 428-0483
Entity
Organization
Contact information
Practice address
3180 W WOODMEN RD, COLORADO SPRINGS, CO 80919-3880
(469) 307-7471
Mailing address
6660 DELMONICO DR STE D325, COLORADO SPRINGS, CO 80919-1899
(719) 428-0483
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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