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NPI Code Detail

MEDICARE: MISS JESSENIA ALEXANDRA LIMON

MEDICARE:  MISS JESSENIA ALEXANDRA LIMON
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 Technician04132006CO

General Provider Information

NPI Number : 1033048806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSENIA ALEXANDRA LIMON
Provider Business Mailing Address
First Line : 5804 DAKAN LOOP
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80927-4255
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Provider Business Practice Location Address
First Line : 1050 S ACADEMY BLVD STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3922
Country : US
Telephone Number : 888-754-0398
Fax Number : 954-982-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MISS JESSENIA ALEXANDRA LIMON ” Practice Location

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