Individual
JACOB FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
5446 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Mailing address
8201 CASS AVE, DARIEN, IL 60561-5314
(630) 590-5571
(630) 326-7175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
106E00000X
Assistant Behavior Analyst
Primary
—
IL
Other
Enumeration date
07/11/2022
Last updated
05/01/2026
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