Healthcare Provider Details

I. General information

NPI: 1932539582
Provider Name (Legal Business Name): ELIZABETH OSTENDORF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2013
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 FEDERAL DR STE 130
COLORADO SPRINGS CO
80921-3848
US

IV. Provider business mailing address

9960 FEDERAL DR STE 130
COLORADO SPRINGS CO
80921-3848
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 TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number1-13-14747
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MARY OSTENDORF
Title or Position: OWNER
Credential: BCBA
Phone: 719-649-5037