MEDICARE: BELLAROSE T QUINTANA

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		CO

General Provider Information

NPI Number	:	1225980188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELLAROSE T QUINTANA

Provider Business Mailing Address
First Line	:	830 TENDERFOOT HILL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-2314
Country	:	US
Telephone Number	:	888-611-0870
Fax Number	:	888-611-0870

Provider Business Practice Location Address
First Line	:	830 TENDERFOOT HILL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-2314
Country	:	US
Telephone Number	:	888-611-0870
Fax Number	:	888-611-0870

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ BELLAROSE T QUINTANA ” Practice Location

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