Individual
MS. RONNI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
1819 E SAINT VRAIN ST, COLORADO SPRINGS, CO 80909-4644
(714) 501-7479
(877) 298-4943
Mailing address
1819 E SAINT VRAIN ST, COLORADO SPRINGS, CO 80909-4644
(714) 501-7479
(877) 298-4943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20850
CO
Other
Enumeration date
01/18/2013
Last updated
11/18/2018
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