Evergrove Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EVERGROVE THERAPY LLC

Practice address

5442 Majestic Dr
Colorado Springs, CO 80919-3540

Phone

(214) 732-2497

NPI assigned

Dec 29, 2025

Last updated

Dec 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Andrea Martinez, BCBANPI 1467921007

Title

Ceo

Phone

(214) 732-2497

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Andrea Martinez, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1467921007
  NPD Authorized official

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1558227173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 MAJESTIC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 MAJESTIC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193540",
            "telephone_number": "214-732-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGROVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-732-2497",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.