MEDICARE: SERENA NICOLE MOBLEY

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366158594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENA NICOLE MOBLEY

Provider Business Mailing Address
First Line	:	4930 COPPER SPRINGS VW APT 304
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-4963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4930 COPPER SPRINGS VW APT 304
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-4963
Country	:	US
Telephone Number	:	719-237-7474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	07/30/2024

Similar Medicare Providers

1518566389 — HERBERT GOODEN II CLINICAL MASSAGE THE
Practice Location Address:

4963 SULPHUR SPRINGS RD
HOOVER, AL
35226-2083

Practice Phone: 205-427-2042
Practice Fax:

1023898269 — JOURDON BEAN DMD
Practice Location Address:

40250 MURRIETA HOT SPRINGS RD STE 119
MURRIETA, CA
92563-4963

Practice Phone: 951-498-3216
Practice Fax:

1366575912 — ERIN N TAYLOR BA
Practice Location Address:

1795 JET WING DR
COLORADO SPRINGS, CO
80916-2332

Practice Phone: 719-572-6100
Practice Fax: 719-572-6089

1992682041 — ALPINE MEDICAL GROUP COLORADO PLLC
Practice Location Address:

1550 PULSAR DR STE 100
COLORADO SPRINGS, CO
80916-4503

Practice Phone: 719-632-4455
Practice Fax: 360-462-5181

1992399497 — CHRISTINA MARIE OAKS
Practice Location Address:

1795 JET WING DR
COLORADO SPRINGS, CO
80916-2332

Practice Phone: 719-572-6267
Practice Fax:

1164492955 — MELINDA A MITCHELL LCSW
Practice Location Address:

1795 JET WING DR
COLORADO SPRINGS, CO
80916-2332

Practice Phone: 719-572-6100
Practice Fax: 719-572-6089

Directions to “ SERENA NICOLE MOBLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.