DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB FRAGOSO RBT

MEDICARE: JACOB FRAGOSO RBT
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
1103K00000XBehavior AnalystCO

General Provider Information

NPI Number : 1679207393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB FRAGOSO RBT
Provider Business Mailing Address
First Line : 8201 CASS AVE
Second Line :
City : DARIEN
State : IL
Zip : 60561-5314
Country : US
Telephone Number : 630-590-5571
Fax Number : 630-326-7175
Provider Business Practice Location Address
First Line : 5446 N ACADEMY BLVD STE 130
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3644
Country : US
Telephone Number : 719-598-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 05/01/2026

Similar Medicare Providers

1851730964 — MR. JASON M ROSA
Practice Location Address:
5446 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-246-8440
Practice Fax:
1457780280 — HORIZONS BEHAVIORAL CONSULTANTS, LLC.
Practice Location Address:
5446 N ACADEMY BLVD , SUITE 105
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-246-8440
Practice Fax:
1558886531 — ADRIENNE ENRIGHT
Practice Location Address:
5446 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-357-6825
Practice Fax:
1023534229 — ROBERT CHAIRES
Practice Location Address:
5446 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-598-5555
Practice Fax:
1073030268 — ANNA GRACE RAMAROLAHY MA CCC-SLP
Practice Location Address:
5446 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-598-5555
Practice Fax:
1619495751 — KELLI ANNE FARHAT OT
Practice Location Address:
5446 N ACADEMY BLVD
COLORADO SPRINGS, CO
80918-3644
Practice Phone: 719-598-5555
Practice Fax:

Directions to “ JACOB FRAGOSO RBT” 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.