Healthcare Provider Details

I. General information

NPI: 1306486071
Provider Name (Legal Business Name): ELENA HANK RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2976 N ACADEMY BLVD
COLORADO SPRINGS CO
80917-5308
US

IV. Provider business mailing address

2976 N ACADEMY BLVD
COLORADO SPRINGS CO
80917-5308
US

V. Phone/Fax

Practice location:
  • Phone: 719-466-4809
  • Fax: 719-368-8399
Mailing address:
  • Phone: 719-466-4809
  • Fax: 719-368-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number14351
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-103803
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: