Fragoso, Jacob

Fragoso, Jacob is an individual health care provider with primary practice located at 5446 N Academy Blvd Ste 130 , Colorado Springs CO 80918-3644. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Fragoso, Jacob can be contacted via phone (719) 598-5555.

Contact Information

Primary practice address
5446 N Academy Blvd Ste 130 Colorado Springs CO 80918-3644
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Illinois

Profile Details

NPI number 1679207393
LBN Legal business name Fragoso, Jacob
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Aug 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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