Provider Demographics
NPI:1306737218
Name:CBLG RESIDENTIAL SERVICES 2 LLC
Entity type:Organization
Organization Name:CBLG RESIDENTIAL SERVICES 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:719-649-5037
Mailing Address - Street 1:9960 FEDERAL DR STE 130
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3848
Mailing Address - Country:US
Mailing Address - Phone:719-466-4809
Mailing Address - Fax:
Practice Address - Street 1:2376 PINYON JAY DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80951-4710
Practice Address - Country:US
Practice Address - Phone:719-466-4809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELIZABETH OSTENDORF LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty