Healthcare Provider Details

I. General information

NPI: 1386586675
Provider Name (Legal Business Name): FRANCIS EDWARD XAVIER SAINT PETER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 E FOUNTAIN BLVD STE 145
COLORADO SPRINGS CO
80910-1791
US

IV. Provider business mailing address

1940 CARMEL DR
COLORADO SPRINGS CO
80910-1531
US

V. Phone/Fax

Practice location:
  • Phone: 719-300-8000
  • Fax:
Mailing address:
  • Phone: 719-299-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26526496
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: