MEDICARE: ELYANNA MYER BCBA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-85082	CO

General Provider Information

NPI Number	:	1669109427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELYANNA MYER BCBA

Provider Business Mailing Address
First Line	:	10260 WASHINGTON ST
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-2053
Country	:	US
Telephone Number	:	913-660-5048
Fax Number	:

Provider Business Practice Location Address
First Line	:	11674 HURON ST STE 150
Second Line	:
City	:	NORTHGLENN
State	:	CO
Zip	:	80234-4000
Country	:	US
Telephone Number	:	720-634-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	10/17/2025

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