Healthcare Provider Details

I. General information

NPI: 1699693069
Provider Name (Legal Business Name): ELIANA NORGAUER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2906 GINNALA DR
LOVELAND CO
80538-2700
US

IV. Provider business mailing address

3750 W 24TH ST APT 11-104
GREELEY CO
80634-4141
US

V. Phone/Fax

Practice location:
  • Phone: 970-744-6674
  • Fax:
Mailing address:
  • Phone: 307-369-8214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-533676
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: