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NPI Code Detail

MEDICARE: NICOLE A JAVIER

MEDICARE: NICOLE A JAVIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-377384

General Provider Information

NPI Number : 1194678896
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE A JAVIER
Provider Business Mailing Address
First Line : 6475 BURROWS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-3819
Country : US
Telephone Number : 202-288-4499
Fax Number :
Provider Business Practice Location Address
First Line : 3000 LAWRENCE ST
Second Line :
City : DENVER
State : CO
Zip : 80205-3422
Country : US
Telephone Number : 303-418-4423
Fax Number : 303-418-4423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ NICOLE A JAVIER ” Practice Location

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