Provider Demographics
NPI:1467027540
Name:RONDON COLMENARES, DARCY (BCBA)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:RONDON COLMENARES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3775 VENTURE DR STE M101
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5217
Mailing Address - Country:US
Mailing Address - Phone:470-610-4222
Mailing Address - Fax:
Practice Address - Street 1:3775 VENTURE DR STE M101
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5217
Practice Address - Country:US
Practice Address - Phone:470-610-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-21
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst