MEDICARE: DIEGO ENCARNACION

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

General Provider Information

NPI Number	:	1730046178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEGO ENCARNACION

Provider Business Mailing Address
First Line	:	PO BOX 33568
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92163-3568
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

Provider Business Practice Location Address
First Line	:	1330 QUAIL LAKE LOOP STE 120
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4651
Country	:	US
Telephone Number	:	855-223-7123
Fax Number	:	619-374-7134

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

Similar Medicare Providers

1003773300 — MACY HELM
Practice Location Address:

1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-1208
Practice Fax:

1902763204 — CHLOE MACDOUGALL
Practice Location Address:

1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-1208
Practice Fax:

1245860428 — JORDAN SLACK
Practice Location Address:

1330 QUAIL LAKE LOOP STE 120
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-2138
Practice Fax:

1447117478 — ALEXIA BRACKETT
Practice Location Address:

1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-1208
Practice Fax:

1154288181 — AUTUMN RYBARCZYK
Practice Location Address:

1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-1208
Practice Fax:

1952396681 — MR. DAVID FRANKLIN SWAYNE JR. LCSW
Practice Location Address:

1330 QUAIL LAKE LOOP STE 260
COLORADO SPRINGS, CO
80906-4651

Practice Phone: 719-540-2100
Practice Fax: 719-540-2102

Directions to “ DIEGO ENCARNACION ” 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.