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NPI Code Detail

MEDICARE: MR. JOSEPH ROBERT ROE

MEDICARE:  MR. JOSEPH ROBERT ROE
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 TechnicianRBT-26516276CO

General Provider Information

NPI Number : 1396699906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ROBERT ROE
Provider Business Mailing Address
First Line : 1015 GARDEN OF THE GODS RD STE A
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3432
Country : US
Telephone Number : 719-354-5297
Fax Number : 719-960-2712
Provider Business Practice Location Address
First Line : 1015 GARDEN OF THE GODS RD STE A
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3432
Country : US
Telephone Number : 719-354-5297
Fax Number : 719-960-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ MR. JOSEPH ROBERT ROE ” Practice Location

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