Healthcare Provider Details

I. General information

NPI: 1700705035
Provider Name (Legal Business Name): ELIZABETH ANNEMARIE FOSTER
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: ZACHARY FOSTER

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S SHERMAN ST
DENVER CO
80209-1623
US

IV. Provider business mailing address

1600 GLENARM PL APT 1503
DENVER CO
80202-4323
US

V. Phone/Fax

Practice location:
  • Phone: 172-023-0695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26-512696
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: