Mikeisha Allen | San Ramon, CA • PECOS Search

Mikeisha Allen

Behavior Technician

Behavioral Health & Social Service Providers

110 Ryan Industrial Ct Ste 3&4, San Ramon, CA 94583-1592

PECOS Enrollment

Based on the most recent information from CMS, provider Mikeisha Allen 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
1043019300
Provider Type
Individual
Full Name
Allen, Mikeisha
Gender
Female

Sole Proprietor
No
Enumeration Date
3/10/2025
Last Updated
3/10/2025

Contact Information

Practice Location

110 Ryan Industrial Ct Ste 3&4, San Ramon, CA 94583-1592

Unlisted Fax

Mailing Location

110 Ryan Industrial Ct Ste 3&4, San Ramon, CA 94583-1592

Unlisted Fax

Provider Taxonomies

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