Andrea Rena Wilson | Columbus, GA • PECOS Search

Andrea Rena Wilson

Behavior Technician

Behavioral Health & Social Service Providers

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

(706) 221-8966 (813) 438-6796

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Rena Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003600206
Provider Type
Individual
Full Name
Wilson, Andrea Rena
Gender
Female

Sole Proprietor
No
Enumeration Date
4/4/2025
Last Updated
4/4/2025

Contact Information

Practice Location

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

Unlisted Fax

Mailing Location

1202 Tech Blvd Ste 104, Tampa, FL 33619-7863

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer Georgia