Provider Demographics
NPI:1336423854
Name:NELSON, ELIZABETH GODBOLD (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:GODBOLD
Last Name:NELSON
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:SHOWALTER
Other - Last Name:GODBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S COLORADO BLVD
Mailing Address - Street 2:SUITE 860
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1253
Mailing Address - Country:US
Mailing Address - Phone:303-322-9000
Mailing Address - Fax:303-322-9001
Practice Address - Street 1:400 S COLORADO BLVD
Practice Address - Street 2:SUITE 860
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1253
Practice Address - Country:US
Practice Address - Phone:303-322-9000
Practice Address - Fax:303-322-9001
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst