Healthcare Provider Details

I. General information

NPI: 1235645722
Provider Name (Legal Business Name): DARCY JANE IRENE STANLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5446 N ACADEMY BLVD STE 105
COLORADO SPRINGS CO
80918-3668
US

IV. Provider business mailing address

5446 N ACADEMY BLVD STE 105
COLORADO SPRINGS CO
80918-3668
US

V. Phone/Fax

Practice location:
  • Phone: 719-246-8440
  • Fax:
Mailing address:
  • Phone: 719-246-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-43098
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: