Organization
INDEPENDENCE ABA THERAPY, LLC
Active
Other names
Independence ABA
Organization subpart
No
Provider details
NPI number
Authorized official
RONNI CLARK MED, BCBA (OWNER, DIRECTOR)
(714) 403-8186
Entity
Organization
Contact information
Practice address
3308 JON ST, COLORADO SPRINGS, CO 80907-5537
(714) 403-8186
(855) 719-3133
Mailing address
2316 N WAHSATCH AVE # 330, COLORADO SPRINGS, CO 80907-6941
(714) 403-8186
(855) 719-3133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
04/09/2025
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