Individual
MRS. JOSEPHINE YOLANDA PENA BACILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4104 OUTLOOK BLVD, PUEBLO, CO 81008-1670
(719) 283-1633
Mailing address
3740 RED BARON DR, COLORADO SPRINGS, CO 80911-3718
(303) 472-1554
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/18/2018
Last updated
01/19/2026
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