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Organization

EVERGROVE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN ANDREA MARTINEZ BCBA (CEO)
(214) 732-2497
Entity
Organization

Contact information

Practice address
5442 MAJESTIC DR, COLORADO SPRINGS, CO 80919-3540
(214) 732-2497
Mailing address
5442 MAJESTIC DR, COLORADO SPRINGS, CO 80919-3540

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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