SearchColoradoBehavior Analyst

Jacob Fragoso

NPI 1679207393 · on the registry since 2022

Practice

Address
4104 Outlook Blvd Bldg B
Pueblo, CO 81008
Phone
(719) 283-1633
Organisation at this address
Loren Sites Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Behavior Analyst
103K00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado