Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Elise Odom

Individual provider Behavior Technician · NPI 1649128539

Ebony Elise Odom is a Behavior Technician in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2026

Practice location Address checks out

3666 Parkmoor Village Dr Apt B
Colorado Springs, CO 80917-5210
Phone: (719) 412-5982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CO)

Record details

NPI number1649128539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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