Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679207393 Individual Practitioner Male Practitioner

Jacob Fragoso

Behavior Analyst • Pueblo, CO

Professional Overview & Biography Verified Profile Summary

Jacob Fragoso is a registered healthcare professional specializing in Behavior Analyst in Pueblo, CO. Practice services are available at 4104 OUTLOOK BLVD BLDG B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4104 Outlook Blvd Bldg B

Pueblo, CO 810081670

Telephone 7192831633
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Pueblo, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Pueblo, CO (2264 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tylia Blissett

Behavior Analyst

NPI 1154990588
Josephine Bacilio

Behavior Analyst

NPI 1376051730

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 01, 2026

Registered at 4104 OUTLOOK BLVD BLDG B, PUEBLO, CO 810081670 (Tel: 7192831633)

📍
Updated Business Mailing Address June 01, 2026

Registered at 2105 ACADEMY CIR, COLORADO SPRINGS, CO 809091663 (Tel: 7195955555)

👤
Provider Name / Credentials Updated June 01, 2026

Recorded as JACOB FRAGOSO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2026

Behavior Analyst

📍
Updated Practice Location August 25, 2022

Registered at 5446 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 809183644 (Tel: 7195985555)

NPI Profile Active July 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2022

Registered at 8415 EXPLORER DR STE 130, COLORADO SPRINGS, CO 809201034 (Tel: 7199005690)

📍
Updated Business Mailing Address July 11, 2022

Registered at 8201 CASS AVE, DARIEN, IL 605615314 (Tel: 6305905571)

👤
Provider Name / Credentials Updated July 11, 2022

Recorded as JACOB FRAGOSO, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Assistant Behavior Analyst

🟢
Initial NPI Registration & Enumeration July 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679207393
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2022
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

2105 Academy Cir

Colorado Springs, CO 809091663

Phone: 7195955555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.