Individual provider Active NPI

Marcel Zollicoffer

  • Behavior Technician
  • Pueblo, CO
National Provider Identifier
1306774294
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1602 E 8TH St
Pueblo, CO 81001-3242
Phone
(719) 470-3050
NPI assigned
May 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X CO Primary

Addresses

Primary practice location

1602 E 8TH St
Pueblo, CO 81001-3242

Mailing address

1602 E 8TH St
Pueblo, CO 81001-3242
Phone (719) 470-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1306774294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 E 8TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810013242",
            "telephone_number": "719-470-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 E 8TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810013242",
            "telephone_number": "719-470-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLICOFFER",
        "first_name": "MARCEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.