Individual provider · Type 1 NPI

Jacob Fragoso

Behavior Analyst · Pueblo, CO

NPI number 1679207393 Active

Practice location

4104 Outlook Blvd Bldg B
Pueblo, CO 81008-1670

Call (719) 283-1633 Map

Mailing address

2105 Academy Cir
Colorado Springs, CO 80909-1663

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1679207393

Jacob Fragoso's National Provider Identifier is 1679207393, issued on Jul 11, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Pueblo, CO. The record was last updated on Jun 1, 2026.