MEDICARE: TAYLOR ELLIOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		CO

General Provider Information

NPI Number	:	1184589954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ELLIOTT

Provider Business Mailing Address
First Line	:	1552 E GIRARD PL APT 915A
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-9215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 INVERNESS CIR E
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5304
Country	:	US
Telephone Number	:	161-979-5992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ TAYLOR ELLIOTT ” Practice Location

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