Jessica Cathelene Vanzandt
Behavior Technician in Pueblo, CO. Individual provider (NPI-1).
NPI number1104785237
StatusActive
Last updated in NPPESJan 15, 2026
Details
- NPI
- 1104785237
- Entity type
- Individual (NPI-1)
- Name
- Jessica Cathelene Vanzandt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2026
- Certification date
- Jan 15, 2026
- Last updated
- Jan 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
2401 W 15th StPueblo, CO 81003-1131
Phone 719-357-4066
Mailing address
2401 W 15th StPueblo, CO 81003-1131
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