Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Fragoso

Individual provider Behavior Analyst · NPI 1679207393

Jacob Fragoso is a Behavior Analyst in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022

Practice location Address checks out

4104 Outlook Blvd Bldg B
Pueblo, CO 81008-1670
Phone: (719) 283-1633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CO)

Record details

NPI number1679207393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address2105 Academy Cir, Colorado Springs, CO 80909-1663

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