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NPI Code Detail

MEDICARE: ELIOT TOLLIS

MEDICARE: ELIOT TOLLIS
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
1106S00000XBehavior TechnicianCO

General Provider Information

NPI Number : 1760337927
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIOT TOLLIS
Provider Business Mailing Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number : 719-425-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ELIOT TOLLIS ” Practice Location

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