Healthcare Provider Details

I. General information

NPI: 1639806060
Provider Name (Legal Business Name): NATALIE COSTIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3095 S PARKER RD STE 200
DENVER CO
80014-2912
US

IV. Provider business mailing address

3095 S PARKER RD STE 200
DENVER CO
80014-2912
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-5409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: