Independence ABA Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INDEPENDENCE ABA THERAPY, LLC

Practice address

3308 Jon St
Colorado Springs, CO 80907-5537

Phone

(714) 403-8186

Fax

(855) 719-3133

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Ronni Clark, MED, BCBANPI 1538407978

Title

Owner, Director

Phone

(714) 403-8186

Specialties & licenses 1

Addresses

Other names 1

• Independence ABA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronni Clark, MED, BCBA

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1538407978
  NPD (past) Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1629547732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 N WAHSATCH AVE # 330",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076941",
            "telephone_number": "714-403-8186",
            "fax_number": "855-719-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 JON ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075537",
            "telephone_number": "714-403-8186",
            "fax_number": "855-719-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RONNI",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "714-403-8186",
        "authorized_official_credential": "MED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Apr 9, 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.