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NPI Code Detail

MEDICARE: JENNA ROSE SCHAFFERT RBT

MEDICARE: JENNA ROSE SCHAFFERT RBT
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
1103K00000XBehavior Analyst1-24-74239CO

General Provider Information

NPI Number : 1891251161
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA ROSE SCHAFFERT RBT
Provider Business Mailing Address
First Line : 13931 SIERRA STAR CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2976
Country : US
Telephone Number : 719-283-1406
Fax Number : 719-249-5834
Provider Business Practice Location Address
First Line : 13931 SIERRA STAR CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2976
Country : US
Telephone Number : 719-283-1406
Fax Number : 719-249-5834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2019
Last Update Date : 06/04/2025

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Directions to “ JENNA ROSE SCHAFFERT RBT” Practice Location

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