Individual ProviderBethany Mary SansoniBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 426-2761PECOS EnrollmentBased on the most recent information from CMS, provider Bethany Mary Sansoni does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1033085311Provider TypeIndividualFull NameSansoni, Bethany MaryGenderFemaleSole ProprietorNoEnumeration Date10/14/2025Last Updated10/14/2025Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 426-2761FaxUnlisted FaxMailing LocationMailing Address996 Roy Marco Way, Marco Island, FL 34145-1829PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseWDL3Z18DJ43BWashington