Individual
MRS. REBECCA ANNE JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1208 EAGLERIDGE BLVD, PUEBLO, CO 81008-2329
(719) 565-1276
Mailing address
1208 EAGLERIDGE BLVD, PUEBLO, CO 81008-2329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000980
CO
Other
Enumeration date
11/30/2017
Last updated
12/23/2025
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