McKenzie Carrick

Individual provider Active NPI Behavior Technician · Colorado Springs, CO

NPI 1609696756 · NPPES record last updated Oct 14, 2024

Key facts

NPI
1609696756
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
5910 Galley Rd
Colorado Springs, CO 80915-3736
Phone
(719) 466-4809
Fax
(719) 368-8399
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ostendorf LLC Behavior Technician Current
since Oct 20, 2024
Accepting new patients
Elizabeth Ostendorf LLC Behavior Technician Past
since Oct 20, 2024
Accepting new patients

Locations

5910 Galley Rd
Colorado Springs, CO 80915
Phone (719) 309-0119

2120 E La Salle St
Colorado Springs, CO 80909

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CO Yes

Addresses

Primary practice location

5910 Galley Rd
Colorado Springs, CO 80915-3736

Mailing address

2120 E la Salle St
Colorado Springs, CO 80909-2218
Phone (719) 466-4809

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Behavior Technician in Colorado

Sources for this page

Verify at the official NPI Registry.