MEDICARE: ELIZABETH OSTENDORF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1497696991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH OSTENDORF LLC

Provider Business Mailing Address
First Line	:	9960 FEDERAL DR STE 130
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-3848
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 ZEBULON DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-1646
Country	:	US
Telephone Number	:	719-466-4809
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING ASSISTANT
Name	:	NICOLE SELLARS
Credential	:
Telephone Number	:	719-466-4809

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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Directions to “ELIZABETH OSTENDORF LLC ” Practice Location

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